Understanding Common Urological Concerns: Testicle Size, Fertility, and Circumcision
Genital issues 1. Is it normal for the size and shape of the left and right testicles to be different? It feels like the left is smaller and the right is larger. 2. If the sperm count is low, is it impossible to conceive naturally? 3. I can easily retract the foreskin to the ...
Dr. Li Xinyi Reply:
1. It is true that many people have asymmetrical features, but it is essential to have a physician examine it to confirm. 2. Not necessarily; theoretically, the ability to conceive may be reduced. 3. There seems to be a slight phimosis, but it is important to consult a urolog...[Read More] Understanding Common Urological Concerns: Testicle Size, Fertility, and Circumcision
Why Am I Experiencing Variable Semen Production During Ejaculation?
Recently, why is there sometimes semen (sperm) during ejaculation and sometimes not? You have one child and three months ago, during intercourse, there were still secretions (sperm) during both internal and external ejaculation. However, when practicing withdrawal during external...
Dr. Du Shixi Reply:
Hello: I have one child and three months ago, during intercourse, there were still secretions (sperm) whether ejaculation was internal or external. However, when practicing withdrawal, there is pain in the penis. Recently, I have noticed that when using withdrawal, in addition to...[Read More] Why Am I Experiencing Variable Semen Production During Ejaculation?
Impact of Lupus on Sperm Motility: What to Expect After Five Years
Sperm motility in patients with systemic lupus erythematosus? A male patient diagnosed with lupus erythematosus five years ago has achieved medication control and is currently stable. The doctor previously informed him that this condition could affect sperm motility. Given that i...
Dr. Fu Shizhang Reply:
It is recommended to visit the urology clinic for a semen analysis.[Read More] Impact of Lupus on Sperm Motility: What to Expect After Five Years
Improving Fertility After Childhood Chemotherapy: A Guide
Infertility - Chemotherapy I underwent chemotherapy during my childhood, and my sperm count is currently zero. What can I do to increase my chances of conception?
Dr. Fu Shizhang Reply:
If you are female, you obviously will not have semen or sperm. If there is a gender misidentification, it is recommended to visit a urology clinic for an examination. Online consultations cannot replace an in-person consultation and physical examination by a physician. If there i...[Read More] Improving Fertility After Childhood Chemotherapy: A Guide
Understanding Semen Analysis: Key Factors Affecting Fertility
Semen issues Hello Doctor: Because my wife and I have not conceived after a year of unprotected intercourse, we went for an examination. Items 1, 2, 11, and 13 do not match the reference values. I consulted with a gynecologist, who said it was okay and prescribed me zinc tablets ...
Dr. Du Shixi Reply:
Hello: There are some minor issues with your sperm analysis, but the quantity, morphology, and motility are all normal. Please pay attention to your lifestyle; avoid tight underwear, refrain from smoking, engage in moderate exercise, and ensure adequate rest. Re-testing in a few ...[Read More] Understanding Semen Analysis: Key Factors Affecting Fertility
Does Daily Masturbation Affect Male Fertility and Cause Infertility?
Fertility issues Hello doctor, does daily masturbation affect fertility? Can it cause infertility?
Dr. Du Shixi Reply:
Hello: Daily masturbation may temporarily reduce sperm count, which can affect fertility. However, if abstinence is practiced for a few days before conception, it should not make a difference. Wishing you good health.[Read More] Does Daily Masturbation Affect Male Fertility and Cause Infertility?
Understanding Shrinking Testicles: Causes and Concerns in Urology
The testicles are getting smaller, but the cause has not been identified? I have been experiencing issues with my urinary system for a while. Since last year, I noticed that my semen has become increasingly thin and the volume has decreased significantly. After undergoing tests a...
Dr. Cai Zhuorong Reply:
It is recommended to conduct a blood test to check male hormones.[Read More] Understanding Shrinking Testicles: Causes and Concerns in Urology
Post-Varicocele Surgery: Understanding Scrotal Pain and Recovery
Postoperative Care for Varicocele Surgery Hello, doctor. I previously had an issue with low sperm count and was diagnosed with stage III varicocele. I underwent microscopic varicocele surgery (left side) three weeks ago. Before the surgery, I did not experience any discomfort due...
Dr. Du Shixi Reply:
Hello: If the wound is not red, hot, severely swollen, and there is no fever, taking good care of the wound is important. Pain is common after surgery. Wishing you good health.[Read More] Post-Varicocele Surgery: Understanding Scrotal Pain and Recovery
Post-Varicocele Surgery: Understanding Erectile Dysfunction and Treatment Options
Post-operative erectile dysfunction after varicocele surgery? Hello Doctor, I would like to ask a question. Previously, during a health check-up, I discovered issues with my semen quality, so I underwent a varicocele ligation surgery at the base of my penis. After the surgery, my...
Dr. Xu Wencang Reply:
After varicocele surgery, there will be no impairment of sexual function. You can go to the hospital for evaluation and examination.[Read More] Post-Varicocele Surgery: Understanding Erectile Dysfunction and Treatment Options
Understanding Sperm Survival Outside the Body: Key Factors and Risks
The relationship between the survival of sperm and semen in vitro? Hello, Doctor: I would like to ask some questions regarding sperm survival. Although I have searched for information online, I still have some doubts that I would like to confirm with you. I appreciate your help i...
Dr. Du Shixi Reply:
Hello: 1) Sperm can survive outside the body for a limited time due to unfavorable environmental conditions, and a significant quantity is required for fertilization. While it is possible for sperm to survive outside for a few minutes, it is unlikely to result in pregnancy. 2) It...[Read More] Understanding Sperm Survival Outside the Body: Key Factors and Risks
Post-Testicular Rupture Care: Monitoring and Fertility Concerns in Boys
Testicular rupture Doctor, if a child has sustained an injury resulting in the rupture of one testicle and has undergone unilateral orchiectomy, how long should we wait before scheduling a follow-up appointment with a urologist? What specific tests should we monitor on the remain...
Dr. Du Shixi Reply:
Hello: In your situation, if you are able to ejaculate, a hospital can test your sperm count. If the sperm quality is adequate, there is no need to worry too much, although the possibility of infertility still exists. If the sperm count is low or the motility is poor, infertility...[Read More] Post-Testicular Rupture Care: Monitoring and Fertility Concerns in Boys
Does Prostatitis Treatment Cause Thinner Semen?
The semen is somewhat thin? Hello doctor, I would like to ask if the medications I am currently taking for prostatitis, which include Menisone tablets, Paransufles tablets, Doperan capsules, and Urief F.C. tablets, could cause my semen to become thin, almost like water?
Dr. Li Xinyi Reply:
A low sperm count may lead to this condition, but a semen analysis in a urology clinic is necessary to confirm it. Additionally, zinc deficiency could also be a factor, so it is advisable to consider zinc supplementation. Frequent ejaculation can also result in the semen being to...[Read More] Does Prostatitis Treatment Cause Thinner Semen?
Understanding Semen Analysis Results: Key Insights for Couples Trying to Conceive
Questions regarding semen analysis results? Hello Doctor: My husband and I have been trying to conceive for nearly a year without success. Prior to this, my husband confirmed that he has a varicocele issue, so we had him checked at the hospital. The semen analysis report came bac...
Dr. Du Mingyi Reply:
Grade A activity level of 32% or Grade A+B activity level of 40% is considered normal. As for the Grade 2 notation, it is advisable to inquire with their hospital or go to another hospital for a complete reassessment.[Read More] Understanding Semen Analysis Results: Key Insights for Couples Trying to Conceive
Understanding Semen Analysis: Causes of Abnormal Sperm Morphology and WBC Levels
Semen analysis Hello, Director Du! I underwent a premarital check-up in November 2016, and all the reports were satisfactory. However, on May 11, 2019, I had a semen analysis, which revealed suboptimal sperm morphology and an elevated white blood cell (WBC) count. Could you pleas...
Dr. Du Shixi Reply:
Hello: I only look at the quantity, motility, morphology, and the presence of white blood cells. However, the report states that it has liquefied, which may affect the accuracy of motility. The presence of white blood cells could indicate inflammation. These issues should be expl...[Read More] Understanding Semen Analysis: Causes of Abnormal Sperm Morphology and WBC Levels
Understanding Your Semen Analysis Report: Is It Normal?
Semen Analysis Report Appearance: Off-white pH: 8 Total Volume: 9 Liquefaction Time: 25 minutes Viscosity: Normal Normal Morphology Ratio: 75% Sperm Count: 85 million Motility at 1 hour: 75% Motility at 2 hours: 60% Grade 0 Motility (non-motile): 10% Grade 1 M...
Dr. Liu Mingyue Reply:
It is recommended to abstain for 3 days before retesting.[Read More] Understanding Your Semen Analysis Report: Is It Normal?
Understanding Semen Analysis: Causes of High Volume and Red Blood Cells
Semen Analysis Report Appearance: Off-white pH: 8 Total Volume: 9 mL Liquefaction Time: 25 minutes Viscosity: Normal Normal Morphology Ratio: 75% Sperm Count: 85 million Motility after 1 hour: 75% Motility after 2 hours: 60% Grade 0 Motility: 10% Grade 1 Motil...
Dr. Du Shixi Reply:
Hello: The total volume refers to the volume, and red blood cells should not normally be present. It is recommended to abstain for 3 days before retesting. Wishing you good health.[Read More] Understanding Semen Analysis: Causes of High Volume and Red Blood Cells
Understanding Abnormal Semen Analysis: What Do High RBC Levels Mean?
Semen analysis report issues? The report indicates: total volume 9cc (abnormal), red blood cells 4-6 (abnormal), other parameters normal. Should I undergo further testing? Is a total volume of 9cc good or bad? Is the elevated red blood cell count related to my regular cycling and...
Dr. Du Shixi Reply:
Hello: 1) The quantity is normal, but the presence of red blood cells is abnormal. Additionally, there is no issue with running; however, for short-distance cycling, it's not advisable to ride for several hours at once or to race. It's better to find time to retest. Wis...[Read More] Understanding Abnormal Semen Analysis: What Do High RBC Levels Mean?
Understanding Varicocele: Impact on Sperm Quality and Male Fertility
Regarding whether my husband has a varicocele? Hello: My husband previously had a semen analysis that showed low sperm count, poor motility, and suboptimal quality. Could this indicate a problem with varicocele?
Dr. Sun Hongshun Reply:
Hello, varicocele refers to the abnormal twisting and enlargement of the spermatic veins within the male scrotum, resulting in swollen veins. Generally, men with varicocele have poorer sperm quality, which can lead to male infertility. It is advisable to consult a specialist for ...[Read More] Understanding Varicocele: Impact on Sperm Quality and Male Fertility
Low Sperm Count but Normal Motility: What It Means for Fertility
Low sperm count, but normal motility? I recently wanted to try to conceive, so I went for a sperm analysis. Today I received the report, which shows the following results: pH: 8.0, Total volume: 3 ml, Sperm count: 31 (40-150 x 10^5/ml), Morphology: 90%, Red blood cells: 0, White ...
Dr. Fu Shizhang Reply:
The normal lower limit for sperm count is 15 million per milliliter. There is no need to consider whether it's 10^5 or 10^6; a count below this indicates oligospermia. However, it is advisable to conduct a repeat test to confirm if the sperm count is indeed low.[Read More] Low Sperm Count but Normal Motility: What It Means for Fertility
Understanding Elevated WBC in Semen Analysis: Implications for Fertility
Semen analysis WBC 10-20 HPF? Since May of this year, I have been trying to conceive a second child with my wife, but after three months, there has been no news. In August, I underwent a semen analysis, and the results showed elevated white blood cells, while other parameters wer...
Dr. Du Mingyi Reply:
It is generally safe to take antibiotics without affecting conception or the fetus.[Read More] Understanding Elevated WBC in Semen Analysis: Implications for Fertility