Understanding Infertility: When to See a Urologist for Help
Am I infertile? If you and your girlfriend have been trying to conceive but have been unsuccessful, it may be a good idea to consult a fertility specialist. You should consider seeing a reproductive endocrinologist or a urologist, as they can evaluate both partners for potential ...
Dr. Cai Zhuorong Reply:
Thank you for your question: If a couple has been engaging in unprotected intercourse for one year without achieving pregnancy, it is advisable to undergo an evaluation. The male partner should see a urologist for a semen analysis.[Read More] Understanding Infertility: When to See a Urologist for Help
Understanding Semen Analysis: Key Questions and Concerns Explained
Semen analysis testing-related questions..? Hello Dr. Tsai: I underwent a government-sponsored preconception check-up in April of this year, but it has been a year since my marriage and I have not been able to conceive. Although the final test report concluded as "normal,&qu...
Dr. Cai Zhuorong Reply:
Volume 8.0 (Is the semen volume too high?) The standard is above 1.5 ml. Sperm Count 582 (Is the sperm count too low?) The standard is above 39 x 10^6. RBC 1-3 (Are there abnormalities in red blood cells?) Normal is 0. WBC 5-4 (Are there abnormalities in white blood cells?) Norma...[Read More] Understanding Semen Analysis: Key Questions and Concerns Explained
Understanding Semen Analysis Accuracy and Male Fertility Concerns
Accuracy of Semen Analysis Hello, doctor. I recently had a semen analysis done at the urology department, and the report showed a sperm count of only 10 million per ml and motility of 65%. The doctor said this sperm count is too low and falls under male infertility, which has me ...
Dr. Du Shixi Reply:
Hello: 1) The semen analysis report is a general estimate; doing it multiple times may yield different results (higher or lower), and it can serve as a reference. If there are a few days without sexual activity, the values will naturally be higher. 2) I believe your situation may...[Read More] Understanding Semen Analysis Accuracy and Male Fertility Concerns
Essential Guide to Male Urology: Circumcision and Underwear Choices
Male genitalia I have a few questions for the doctor: 1. In Taipei, can you recommend a well-known doctor for circumcision? 2. There are various methods for circumcision, including the conventional surgical method, laser surgery, and dorsal slit surgery. What are the advantages...
Dr. Du Shixi Reply:
Hello: 1) Minor surgeries are not likely to gain notoriety. It is recommended to consult a urologist at the hospital. 2) The choice depends on the individual's condition regarding the foreskin; laser procedures result in less bleeding, while dorsal slit does not involve skin...[Read More] Essential Guide to Male Urology: Circumcision and Underwear Choices
Understanding Varicocele's Impact on Sperm Count and Fertility
Varicocele and sperm count? Hello Doctor, Since last year, I have been experiencing a sensation of a foreign body in my left scrotum (testicle), which can become quite intense, making it uncomfortable enough at night that I have trouble sleeping. The doctor suspects it might be...
Dr. Du Shixi Reply:
Hello: The sperm count can be tested again at a later time; it may vary at times, but as long as it is within the normal range, that's acceptable. Surgery does not necessarily increase sperm count for everyone, so it's important to be mindful. Avoid prolonged sitting or...[Read More] Understanding Varicocele's Impact on Sperm Count and Fertility
Understanding Low Sperm Penetration: Causes and Treatment Options
What are the causes of insufficient sperm penetration ability? Hello doctor, I would like to ask about my husband's semen analysis report. The sperm count and motility are normal, but the "sperm penetration ability is 61%, which is below the normal range of 80%. How sho...
Dr. Fu Shizhang Reply:
It is recommended to visit an outpatient clinic to assess the severity of varicocele in order to determine whether surgical treatment is necessary.[Read More] Understanding Low Sperm Penetration: Causes and Treatment Options
Understanding Varicocele: Impact on Fertility and Treatment Options
Varicocele If varicocele becomes more severe, does that necessarily mean a decline in fertility? Is it possible for sperm count to remain normal? If the condition worsens and sperm count decreases, can surgery later restore the sperm count to normal levels? Currently, if the left...
Dr. Xu Wencang Reply:
If there is severe varicocele with discomfort and it affects sperm quality, surgery may be considered. Further discussion with the physician is recommended.[Read More] Understanding Varicocele: Impact on Fertility and Treatment Options
Understanding Varicocele: Impact on Fertility and Treatment Options
Varicocele If varicocele becomes more severe, does that necessarily mean a decrease in fertility? Is it also possible for sperm count to remain normal? If the condition worsens and sperm count decreases, can surgery later restore the sperm count to normal levels? Currently, if th...
Dr. Du Shixi Reply:
Similar questions have been asked too many times; please refer to our FAQ section. Hello: After surgery, it is possible for sperm quality to improve (though not guaranteed). Currently, the left testicle only experiences occasional soreness; if no surgery is performed, will the pa...[Read More] Understanding Varicocele: Impact on Fertility and Treatment Options
Understanding Semen Analysis: Can Lifestyle Changes Improve Fertility?
Government subsidies for semen analysis reports before pregnancy after marriage? I would like to ask if the indices in the analysis report indicate that infertility standards have been reached? Given that the engineer experiences high work stress and prolonged sitting, if lifesty...
Dr. Fu Shizhang Reply:
The quality of sperm is indeed very poor, and with such quality, natural conception is almost impossible. It is recommended to visit a urology clinic. Online consultations cannot replace an in-person examination and physical assessment by a physician. If there are any medical con...[Read More] Understanding Semen Analysis: Can Lifestyle Changes Improve Fertility?
Understanding Right Groin, Testicular, and Lower Back Pain: A Urology Perspective
Right groin, testicle, and right flank pain? Hello doctor, I recently experienced pain and discomfort in my right testicle, accompanied by soreness in my right flank. I visited a urologist, initially suspecting it might be due to a varicocele. However, after an ultrasound of the ...
Dr. Du Shixi Reply:
A physician must not administer treatment, prescribe medication, or provide a diagnosis without a personal examination. Hello: Epididymitis can lead to swelling of the testicles, but this is not always the case. Prostatitis is difficult to diagnose; urinalysis may be one method, ...[Read More] Understanding Right Groin, Testicular, and Lower Back Pain: A Urology Perspective
Is Post-Vasectomy Sperm Count Testing Necessary? Key Considerations
Is it necessary to perform a semen analysis after a vasectomy? Hello, Doctor. I underwent a male sterilization procedure at Taipei Veterans General Hospital on June 9, and I was initially very happy about it. However, after researching online, I have some questions. I am concerne...
Dr. Chen Jiansheng Reply:
After both vas deferens have been ligated, it is generally recommended to ejaculate 15 to 20 times to clear any remaining sperm. After achieving this recommended number, a semen analysis should be performed to confirm that the sperm count is zero, which indicates effective contra...[Read More] Is Post-Vasectomy Sperm Count Testing Necessary? Key Considerations
Understanding Your Semen Analysis Report: Key Insights and Concerns
Semen analysis Hello Doctor, I would like to inquire about this semen analysis report. I underwent this test due to left-sided varicocele. I would like to know if this is considered serious. Thank you for your response. Semen volume: 2 ml Abstinence period: 2 days Sperm co...
Dr. Li Xinyi Reply:
The Kruger strict morphology standard seems to be low. It is recommended to first improve lifestyle habits, such as quitting smoking, reducing alcohol intake, avoiding prolonged sitting, not wearing tight-fitting underwear, and avoiding high-temperature environments. After making...[Read More] Understanding Your Semen Analysis Report: Key Insights and Concerns
Vasectomy and Pregnancy Concerns: Understanding Risks and Menopause
Sterilization and Pregnancy Issues After undergoing a vasectomy in October of last year, I had two semen analyses in November, and another one three months later, all showing zero sperm count. Although my girlfriend has occasionally experienced late periods in the past, she has r...
Dr. Du Shixi Reply:
Hello: Based on your description, the chance of pregnancy is 0. Thank you for your inquiry.[Read More] Vasectomy and Pregnancy Concerns: Understanding Risks and Menopause
Does Health Insurance Cover Semen Analysis for Infertility Testing?
Is semen analysis covered by health insurance? Hello, doctor. I have been trying to conceive for over two years, and my sperm count has consistently been on the borderline without improvement. I am wondering if I might have a varicocele and would like to see a urologist for an ex...
Dr. Fu Shizhang Reply:
Some.[Read More] Does Health Insurance Cover Semen Analysis for Infertility Testing?
Understanding Sperm Analysis: Interpreting Results for Fertility Concerns
Semen Analysis Report Hello doctor, my spouse and I are experiencing infertility issues. We went to a laboratory for a sperm analysis, and the results are as follows: sperm count 41 million/mL, total motility 82%, progressive motility 86%, vitality 29% (with <58% being conside...
Dr. Du Shixi Reply:
Hello: It is advisable to visit a hospital for an examination, as it may be better to stick to one hospital for easier comparison, since different facilities may yield different results. To enhance sperm quality, avoid smoking and alcohol, refrain from sitting for prolonged perio...[Read More] Understanding Sperm Analysis: Interpreting Results for Fertility Concerns
Understanding Abnormal Semen Analysis: Impact on Fertility and Pregnancy
Pre-marital examination semen analysis report My wife and I are planning to have a baby, so we went for a health check-up. However, the test results showed abnormalities in the semen analysis, as follows: - Amount: 3 mL (Reference value: >2 mL) - Color: Grayish-white (Refere...
Dr. Du Shixi Reply:
Hello: There may have been contamination during the semen collection, so I recommend you check again. The other numbers are fine and not affected. If you are trying to conceive, it is advisable to maintain a regular schedule, avoid smoking, and wear loose-fitting pants. Thank you...[Read More] Understanding Abnormal Semen Analysis: Impact on Fertility and Pregnancy
Understanding Urinary Tract Infections and Varicocele: Key Insights
Urinary tract infection and varicocele? Hello Director Du, About three months ago, I experienced painful urination and pus discharge, and after examinations at the hospital, the results were normal. I began treatment at that time, but my condition has been fluctuating. After und...
Dr. Du Shixi Reply:
Hello: Prolonged standing or engaging in leg-intensive activities should refer to several hours rather than just a few minutes. This helps with vascular circulation. 1. Walking is beneficial; intense exercise is not recommended. 2. If there are no issues, sexual activity is permi...[Read More] Understanding Urinary Tract Infections and Varicocele: Key Insights
How Soon Can You Have Sex After a Vasectomy?
How long after a vasectomy can one resume sexual intercourse? Hello doctor, I would like to know how long after a vasectomy can I resume sexual intercourse? Thank you!
Dr. Du Shixi Reply:
Hello: My suggestion is that if the wound is normal and not too painful after more than a week, it should be fine. However, contraception is necessary. After a vasectomy, you still need to return for a follow-up appointment to confirm that the sperm count is zero before you can s...[Read More] How Soon Can You Have Sex After a Vasectomy?
Recovery Time After Varicocele Surgery for Improved Sperm Count
Sperm count Hello Dr. Du: Due to family planning, my husband and I have experienced infertility issues during the two years since our marriage, and after examinations, it was found that he has a varicocele. He underwent varicocele surgery in early November last year, and he has b...
Dr. Du Shixi Reply:
Hello: You may need to go back to the same hospital (the one where you had your semen analysis done last time) to repeat the semen analysis and check for improvements in count, motility, and morphology. It is important to use the same facility to ensure that the standard instrume...[Read More] Recovery Time After Varicocele Surgery for Improved Sperm Count
Post-Vasectomy Sperm Check: Do I Need Another Test After 3 Months?
Vasectomy and Sperm Analysis Issues I would like to consult a physician. I underwent a vasectomy in early October last year, and by early November, I had already ejaculated on my own 15 times and had undergone sperm analysis at a large hospital and a medical laboratory, both show...
Dr. Du Shixi Reply:
Hello: No, after a vasectomy, a sperm count of zero is sufficient, and no further testing is needed. This is the consensus worldwide. Thank you for your inquiry.[Read More] Post-Vasectomy Sperm Check: Do I Need Another Test After 3 Months?