Sperm count, Urology FAQ

Understanding Semen Analysis: Implications of High Viscosity on Fertility

Semen Hello, doctor: I have a question for you. My husband underwent a sperm analysis, and the results showed that his sperm is excessively viscous, with a liquefaction time of 35 minutes, while the obstetrician said the normal range is 20 minutes. May I ask: 1. Does this mean my...

Dr. Xu Weikai Reply:
1. The liquefaction time is prolonged, which can have many causes, but it does not affect fertility. Generally, infertility is determined by factors such as sperm count and motility. 2. Please attach the semen analysis report so that I can provide more convenient recommendations...

Do I Need Surgery for Varicocele? Understanding Risks and Timing

Does the varicocele require surgery? I was diagnosed with varicocele six months ago. Recently, I had a semen analysis that showed a low sperm count of about 5 million. However, I do not experience much pain; I only felt discomfort, which prompted me to see a doctor who advised th...

Dr. Zhang Chengye Reply:
Hello: 1. It can wait until next year to address the issue; I don't believe the varicose condition will worsen. 2. It is not necessarily the case that there will be insufficient semen volume. Sincerely, Dr. Chang Cheng-yeh, Attending Physician, Department of Urology, Hsinchu...

Varicocele and Infertility: Surgical Options and Recovery Insights

Varicocele and Infertility Hello Dr. Lin: We are experiencing infertility. I underwent laparoscopic surgery for endometriosis on January 18. My husband has a sperm count of 2500, with only 8% motility, and he has been diagnosed with varicocele. The doctor has recommended surgery,...

Dr. Lin Hexing Reply:
Hello Ms. Wu: Simple varicocele should not result in the sperm analysis findings your husband has. If a varicocele ligation surgery is performed, the likelihood of achieving pregnancy may be quite low, and considering artificial insemination might be more feasible. 1. Generally, ...

Understanding Varicocele: Symptoms, Treatment Options, and Lifestyle Tips

About Varicose Veins Hello Dr. Lin, I have recently been experiencing pain in the right side of my scrotum after intercourse or during the night. After visiting the hospital and undergoing an examination, the doctor found that I have varicocele on both the left and right sides, ...

Dr. Lin Hexing Reply:
Hello Weiwei: To answer your question, the ultrasound examination shows that the scrotal vein measures 2.8mm, which is not considered severe. In young males, varicocele predominantly occurs on the left side. The main indications for surgery are 1. causing infertility, and 2. abdo...

Understanding Male Infertility: Causes, Treatments, and Options

Infertility Hello, doctor. I have a five-year-old son, and for the past two years, I have been trying to conceive again without any success. I recently went to a gynecology clinic in Beitun for an examination and found out that my sperm count is low, at only 5 million. I am wonde...

Dr. Xu Weikai Reply:
Yiyun: Hello, generally speaking, there is a saying: "When one is well-fed and warm, thoughts of lust arise." In professional terms, this means that the reproductive system only begins to function when the body is at ease and life is not threatened. Conversely, any abno...

Does Smoking, Drinking, and Frequent Sex Affect Male Fertility?

Is this harmful to the body? Hello, Dr. Hsu. I have a few questions regarding sexual health. My boyfriend is 32 years old and works as a police officer. He has a habit of smoking about a pack a day and occasionally drinks alcohol. Due to his work schedule, he often stays up late....

Dr. Xu Weikai Reply:
Xiao Yu: Hello, there is a saying: "When one is well-fed and warm, they think of lust." From a urological perspective, this statement is quite appropriate. Sexual function is not directly related to life itself; therefore, it only manifests normally when the body is in ...

Testicular Calcification and Mild Varicocele: Treatment Options and Concerns

Testicular calcification and mild varicocele? Dear Doctor, If an ultrasound examination confirms the presence of calcifications in both testicles and mild varicocele, and I am currently experiencing slight discomfort in the lower abdomen and groin, along with a low sperm count ...

Dr. Cai Bingkun Reply:
Hello, if there are abnormalities in a normal semen analysis, patients are usually asked to undergo a second or even a third test. It is only considered abnormal if all three tests show abnormalities. As for the calcifications on both sides of the testicles and mild varicocele, t...

Understanding Semen Volume: Myths and Facts About Fertility

The volume of semen? Hello Dr. Chang! Last week, I sent a question regarding the volume of semen. I have watched adult films and noticed that the male actors seem to ejaculate more semen than I do. Does this mean that I have a lower sperm count in my semen? In other words, am I a...

Dr. Zhang Chengye Reply:
Hello, Xiao Chen: 1. Not necessarily. 2. It may not necessarily be more difficult to conceive; please come to the clinic for a semen analysis. Sincerely, Dr. Chang Cheng-yeh, Director of Urology, Hsinchu Hospital, Department of Health, Executive Yuan.

Impact of Obesity on Sperm Quality and Male Sexual Health

Complex issues Does being overweight affect a man's sperm count or motility? Are there ways to improve sperm motility? Are there any foods that can enhance sexual function? What is the average length of an erect penis in men? If it is shorter than average, does it reduce the...

Dr. Zhang Chengye Reply:
Hello, Xiao Chen: The quantity and motility of sperm are not affected by body weight. To increase sperm motility, it is recommended to stay cool. Currently, there are no foods that can enhance sexual function. The average length of an erect penis in Taiwan is about 7 to 9 centime...

Understanding Sperm Health: Concerns About Ejaculation and Fertility

Communicating with the body? Hello Dr. Chang: I have a habit of masturbation, but I recently noticed a decrease in my sperm count. I usually ejaculate into my underwear and let it dry, but after it dries, I find that there doesn't seem to be much difference compared to when ...

Dr. Zhang Chengye Reply:
Hello, A: Please do not worry; it is likely not premature ejaculation and will not affect fertility. I recommend that you go to the hospital for a semen analysis. Sincerely, Dr. Chang Cheng-yeh, Attending Physician, Urology Department, Hsinchu Hospital, Ministry of Health and Wel...

Understanding Semen Volume: Impact on Fertility and Enhancement Tips

Semen questions The average volume of ejaculate is typically around 3cc to 4cc. If the volume is below this range, it may potentially contribute to infertility, but it is not the sole factor. There are methods to potentially increase semen volume, such as staying hydrated, mainta...

Dr. Zhang Chengye Reply:
Hello, Xiao Lin: The volume of semen ejected is approximately 3 to 4 cc; a volume less than this will not cause infertility. Currently, there is no method to increase semen volume, and exercise does not necessarily improve semen quality. This is a response from Dr. Chang Cheng-ye...

Understanding Male Sexual Health: Concerns About Fertility and Anatomy

Impact Doctor, I am almost 23 years old. I got married when I was 20. Recently, my sexual relationship with my wife has not been very satisfactory, and she has not become pregnant. Additionally, I have been experiencing a decline in my physical strength. I consulted a traditional...

Dr. Xu Wencang Reply:
Hello: In response to your question, the measurement of penile length varies. The measurement point at the base is where the pubic skin meets the penile skin, and it should be pressed down as much as possible to the pubic bone. According to statistics from the Tri-Service General...

Can Testicular Injury Lead to Infertility? Understanding the Risks

Infertility issues Hello doctor, I injured my left testicle when I was younger. It has now shrunk. Will this cause infertility? Please help me with this question. Thank you.

Dr. Weng Wenzhen Reply:
Having just one testicle is sufficient for fathering children. You can visit a hospital or clinic to check for sperm count, motility, and morphology to determine if there are any issues.

Concerns About Testicular Health: Did Childhood Habits Affect Fertility?

Am I overthinking this? When I was younger, I often squeezed my testicles (the reason I did it, I don't know, but I didn't apply too much pressure; it just felt a bit sore). This lasted for about a month, but then I stopped. Although I have developed normally and my eja...

Dr. Liu Jianting Reply:
At 16 years old, it's the age of development! Don't worry, no matter how rough it gets, it's unlikely that you'll damage your precious asset!

Where to Check Sperm Count: Hospitals vs. Clinics Explained

Where can I check sperm count? Hello, where can I check my sperm count? Can it be done at a major hospital's urology department or at a general urology clinic? What is the approximate cost? Is it covered by health insurance or is it out-of-pocket? Thank you!

Dr. Xu Weikai Reply:
Semen analysis can be performed at general laboratories or hospitals. However, the equipment at laboratories may be insufficient, which can sometimes lead to inaccuracies. As for the cost, in hospitals, depending on the condition, certain situations such as testicular or epididym...

Understanding Testicular Size Differences and Related Health Concerns

My two sides are not quite the same? I am 21 years old and had surgery for left-sided varicocele when I was 12. I believe I have recovered, but I still feel that my left testicle is larger, and upon examination, it indeed seems so. I have read some literature stating that the lef...

Dr. Chen Xiuyi Reply:
Varicocele generally has a higher incidence on the left side. As for the size of the testicles, there may be some variation, but as long as they are not too small, they are considered normal. If there is swelling of the epididymis, it is important to consider whether it is due to...

Concerns About Testicle Size and Sperm Count: What You Need to Know

Question Hello, doctor. To be honest, I am no longer a virgin and I am also married. I have engaged in sexual activity many times, and I have a concern: it seems that my testicles feel smaller, and the volume of sperm appears to be less than before. What should I do?

Dr. Liu Jianting Reply:
No way! The testicles cannot suddenly shrink; however, if they suddenly enlarge or if there are irregular hard lumps, you should see a doctor for an examination. As for sperm count, how are you measuring that? I suggest you look for a few books like "The Love of the Little B...

Decreased Sperm Volume: Causes and Treatment Options Explained

Continuation of the question? Hello Dr. Liu: I have another question to ask you, and I apologize for bothering you again during your valuable time. Following up on our previous discussion, thank you for your guidance; I truly appreciate it! Today, I would like to ask: after being...

Dr. Liu Jianting Reply:
Really? How did you notice that the sperm count in your testicles has decreased? Don't worry, normal men continuously produce sperm in their testicles day and night. At your age, approximately 1,000 sperm are produced with each heartbeat. Is that too much? If you notice any ...

Understanding Male Infertility: A Patient's Journey with Hypogonadotropic Hypogonadism

Male infertility I am a patient with hypogonadotropic hypogonadism. After being discharged from the military, I was referred to Chang Gung Memorial Hospital, where I underwent an MRI and chromosomal examination, both of which showed no issues. I have been using HCG, starting from...

Dr. Liu Jianting Reply:
After puberty, the development of the organs has largely stabilized. Supplementing with HCG is certainly a hope to maintain a glimmer of expectation. Supplementing with testosterone will gradually lead to testicular dysfunction, but if the testicular function was already compromi...

Improving Sperm Count: Urology Insights on Trauma and Fertility

Inquire about issues related to the male genitalia? I have been married for many years but have been unable to conceive. My tests show no issues, while my husband's test results indicate normal sperm motility but low sperm count. Recently, he mentioned that he had previously...

Dr. Pan Zhenqin Reply:
Male infertility (normal female, infertility due to decreased sperm count or poor motility in males) has many causes, with varicocele being one of the more common ones. Although your husband has a history of testicular trauma, unless there is a rupture of the tunica albuginea or ...

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