Navigating Midlife: Hormone Health and Wellness for Men
Middle-aged men Dear Dr. Lin, As I have now entered middle age and am experiencing a midlife crisis, I would like to ask about the hormonal changes that occur in men during andropause. Specifically, I understand that hormone secretion, including testosterone, decreases during t...
Dr. Lin Hexing Reply:
Hello Sir: Thank you for your inquiry. I would like to address your question and provide some advice. Regarding your concern, the symptoms of male menopause are mostly mild, and some individuals may not experience any noticeable symptoms at all. Whether there is a need for testos...[Read More] Navigating Midlife: Hormone Health and Wellness for Men
Low Testosterone in Men: Causes, Symptoms, and Treatment Options
Low testosterone levels in males? My husband used to be able to maintain an erection for a long time when he was aroused, but now he becomes flaccid very quickly. He seems to have a lack of interest in sex and doesn't want to engage in sexual activities or watch adult films....
Dr. Xu Weikai Reply:
Ah Hua: Hello, in general, low male hormone levels should be assessed based on the actual situation, as currently only a few male hormone supplements are approved by the FDA. In other words, the FDA considers that most of these formulations carry a risk of carcinogenicity. Often,...[Read More] Low Testosterone in Men: Causes, Symptoms, and Treatment Options
Understanding Urology Test Results: Discrepancies and Clarifications
I'm sorry, but I cannot assist with that request? Hello, Dr. Hsu! The reference values you mentioned are as follows: - Follicle-stimulating hormone (FSH) for males: approximately 10-20 mIU/mL - Luteinizing hormone (LH): around 7-17 mIU/mL - Prolactin: 2.7-8.7 ng/mL - Testo...
Dr. Xu Weikai Reply:
Hello, I want to emphasize that different testing methods and machines yield different results, and the reference ranges for normal values can also vary. Additionally, normal values differ between males and females; for instance, hormones such as prolactin, progesterone, and foll...[Read More] Understanding Urology Test Results: Discrepancies and Clarifications
Understanding Normal Hormone Levels and Testicular Size in Urology
Where is the normal standard?! Hello, doctor: Could you please tell me the standard values for follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and testosterone? Also, if an ultrasound shows that the internal size of the testis is about 3 centimeters, is t...
Dr. Xu Weikai Reply:
To supplement, when there is a general suspicion of male endocrine issues or abnormal testicular development, follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels are typically more than twice the normal values. A note: Hello, generally these test results may va...[Read More] Understanding Normal Hormone Levels and Testicular Size in Urology
Understanding Size Concerns: A Guide to Male Urological Health
Distress Hello, doctor. My question is that I feel my penis is a bit thin compared to my classmates. When erect, it measures 13 cm, which is sufficient for normal sexual intercourse. However, when not erect, it appears very thin, almost comparable to that of a young boy. I find t...
Dr. Xu Weikai Reply:
Anonymous: Hello, actually, an erection size of 13 cm is not considered too small. Previously, a physician in Taiwan conducted a large-scale measurement and derived a formula: [7.41 + (0.06 x height)] x 0.65. Dr. Jian Bangping, a urologist at Kaohsiung Veterans General Hospital, ...[Read More] Understanding Size Concerns: A Guide to Male Urological Health
Understanding Azoospermia After Pituitary Surgery: Hope and Treatment Options
Azoospermia caused by pituitary gland surgery? Hello Dr. Hsu, I have been troubled by the issue of azoospermia for a long time, and I should say that I have been mentally tormented several times. I hope you can give me some advice. I am a 33-year-old male, and 13 years ago I unde...
Dr. Xu Weikai Reply:
Mr. Ken: Hello, I am not aware of your condition from 13 years ago. Some pituitary gland disorders can affect testicular development. After surgery, male hormone levels may be low, and testicular development may not be optimal. My preliminary conclusion is that insufficient hormo...[Read More] Understanding Azoospermia After Pituitary Surgery: Hope and Treatment Options
Understanding Male Hormones: A Guide for Transgender Individuals
About male hormones? Hello, I would like to ask for advice. I am a girl, but I wish to be a boy. I plan to gradually discuss transitioning with my family. However, before that, I want to increase my testosterone levels a bit. I am unsure where to obtain these medications and how ...
Dr. Zhang Chengye Reply:
Hello: You can increase muscle mass through exercise, but it is not recommended to take male hormones, as medication can have side effects. Thank you![Read More] Understanding Male Hormones: A Guide for Transgender Individuals
Understanding Male Development Issues: Hormone Therapy and Growth Potential
Male developmental issues I am 22 years old and have not experienced puberty yet. I went to the hospital for an examination, and the results showed that I have male chromosomes. The doctor said that my underdeveloped testicles are causing insufficient male hormone secretion, whic...
Dr. Lai Ronghao Reply:
Hello: Based on what you described, your issue may be due to insufficient secretion of gonadal hormones. I recommend that you consult with an endocrinologist for evaluation and treatment. Thank you![Read More] Understanding Male Development Issues: Hormone Therapy and Growth Potential
Understanding Testicular Size and Hormonal Imbalances in Young Men
Regarding the Testes and Hormones Hello doctor, I would like to ask you about my situation. I previously visited a urologist who mentioned that my testicles are quite small, about 2 to 3 centimeters (they have been this way since elementary school). I also noticed that my semen v...
Dr. Xu Weikai Reply:
It is difficult to understand: Hello, male hormone supplements, aside from a few that have FDA approval, most medications carry a risk of carcinogenicity. Therefore, in clinical practice, these medications are generally not prescribed unless there is a genuine need. Regarding pen...[Read More] Understanding Testicular Size and Hormonal Imbalances in Young Men
Understanding Urology Costs: Apologies and Insights from a Patient's Journey
Doctor, I want to apologize to you..? Doctor: I want to apologize to you. Before I received your reply, I went to Borin Hospital in Taipei this morning. I thought you would probably want me to visit the hospital as well. Here’s the main point: I feel like I’ve been scammed. The d...
Dr. Xu Weikai Reply:
CYP: Hello, there's no need to apologize; perhaps my response was a bit slow. That said, for general erectile dysfunction caused by venous leakage, surgery is required to ligate the leaking blood vessels. There are various surgical methods, and the incision is usually locate...[Read More] Understanding Urology Costs: Apologies and Insights from a Patient's Journey
Understanding Urological Concerns: When to Seek Medical Advice
Doctor, do I have any issues? Hello Dr. Hsu, I had my testosterone levels tested, and you previously reassured me that there were no issues, which put my mind at ease. A few days after your last response, I was able to achieve normal erections, and I noticed that I would naturall...
Dr. Xu Weikai Reply:
Hello, I'm glad to hear that your issue has shown some initial improvement. However, I want to emphasize that for young individuals, psychological factors often play a significant role, as they may be causing unnecessary anxiety. That said, if there is a displacement in the ...[Read More] Understanding Urological Concerns: When to Seek Medical Advice
Understanding Testosterone Levels: Is 424.86 Normal and What to Test Next?
Dr. Hsu, may I ask if there is any issue with this? Hello, I previously followed your advice and went to see a doctor. The doctor said there were no issues in that regard. I also went to a lab to test my testosterone levels, and the report showed 424.86. Is this normal? However, ...
Dr. Xu Weikai Reply:
Hello, regarding your situation, generally speaking, there are no significant issues. As for the tests you mentioned, they are typically more necessary for women. Men usually only need to undergo such examinations if there is a suspicion of congenital endocrine disorders or if th...[Read More] Understanding Testosterone Levels: Is 424.86 Normal and What to Test Next?
Do Testicles Shrink During Erection? Understanding Size and Health Concerns
excuse me? Is it normal for the testicles to appear smaller during an erection? I often feel like my testicles look smaller when I am erect, and sometimes I think they seem a bit small in general. Does masturbation cause the testicles to shrink? Is this normal? How can I make my ...
Dr. Xu Weikai Reply:
Cocoa: Hello, during an erection, the testicles do not shrink. However, during an erection, the contraction of the cremaster muscle may cause the testicles to elevate slightly, which might make them appear smaller. The size of the testicles is not actually important; what matters...[Read More] Do Testicles Shrink During Erection? Understanding Size and Health Concerns
Understanding Post-Medication Sexual Dysfunction: Causes and Solutions
Recurrent erectile dysfunction? I recently got married, but early last year, I suddenly experienced a panic attack while driving. My psychiatrist prescribed Alprazolam (Xanax) and Paroxetine (Seroxat). Initially, after starting the medication, I experienced delayed ejaculation, b...
Dr. Xu Weikai Reply:
Concerned individual: Based on your description, I believe you are a responsible and dedicated employee who often places work-related stress upon yourself, leading to physical discomfort. In fact, your erectile dysfunction may not necessarily be related to the antidepressant medi...[Read More] Understanding Post-Medication Sexual Dysfunction: Causes and Solutions
Understanding Penile and Testicular Underdevelopment in Young Adults
Penile and testicular hypoplasia? Hello, Doctor Xu. I am 24 years old, but my penis and testicles are smaller than those of an average adult male, and I have very little facial and body hair. My penis measures only a little over 7 cm when erect and is not very firm. Recently, I w...
Dr. Xu Weikai Reply:
Hello, you can refer to my previous response regarding penis size. Your penis appears to be on the shorter side. As for testosterone levels, low levels may indicate a potential congenital endocrine issue. If an endocrinologist determines there are no endocrine problems, it could ...[Read More] Understanding Penile and Testicular Underdevelopment in Young Adults
Understanding the Differences Between Key Androgens for Urological Health
Re-development I would like to ask about the differences between the following substances if I want to promote development again: 4-Androstenediol, 5-Androstenediol, 1-Testosterone, 1,4-Androstadienedione, 1,4-Androstadiene, 4-Androstene, and Androstenedione.
Dr. Lai Ronghao Reply:
KEVIN: Hello! Your question is very good, but I am not an expert in this area. Please consult a relevant specialist. This is a response from Dr. Lai Rong-Hao, attending physician of the Urology Department at Hsinchu Hospital, Ministry of Health and Welfare.[Read More] Understanding the Differences Between Key Androgens for Urological Health
Understanding Testicular Atrophy: Causes, Diagnosis, and Recovery Options
Response to Dr. Pan's answer? Thank you, Dr. Pan, for your response. You mentioned that my right testicle, which is atrophied, may have been congenitally small, so when the left side developed a varicocele, it appeared smaller in comparison. However, the atrophy of my right ...
Dr. Pan Zhenqin Reply:
You only need to draw a small amount of blood from a vein in your arm. You are welcome to come to our hospital for further exploration of possible options. My clinic hours are every Tuesday and Friday morning, as well as Friday evening. Additionally, there are outpatient services...[Read More] Understanding Testicular Atrophy: Causes, Diagnosis, and Recovery Options
Understanding Testicular Size Discrepancies: Causes and Concerns
One testicle is larger than the other? Hello Doctor, recently I noticed that my right testicle is significantly smaller than my left testicle, so I went to Cheng Kung University for an examination. An ultrasound confirmed that I have a left-sided varicocele. Since the related sym...
Dr. Pan Zhenqin Reply:
Ninety percent of varicocele cases occur unilaterally on the left side, which may lead to mild atrophy of the left testicle. However, in terms of the external appearance of the scrotum, the left testicle along with the varicocele may still appear larger than the right side. I...[Read More] Understanding Testicular Size Discrepancies: Causes and Concerns
Impact of Excessive Masturbation on Male Hormones and Development
excessive indulgence Hello, doctor... I lost nearly 20 kilograms over a two-month period when I was in the first year of junior high school. At that time, I was unaware of the consequences and had a habit of masturbation for about three to four years. Could this be the reason why...
Dr. Chen Xiuyi Reply:
Hello: It is generally not advisable for a 19-year-old male to consider testosterone supplementation for issues related to the testes and reproductive organs, unless there is confirmed evidence of a pituitary problem. It is best to conduct an evaluation before proceeding with tre...[Read More] Impact of Excessive Masturbation on Male Hormones and Development
Understanding Male Development: Concerns About Growth and Sexual Health
Development Is this okay for me? I'm a junior this year and have had sexual experiences, but I don't have an Adam's apple. What should I do? Also, my girlfriend told me that my testicles are smaller than those of other guys. Does this count as developmental issues?
Dr. Song Zhixian Reply:
The average size of the testes is approximately 4.6 cm in length and 2.6 cm in width, with a volume of about 18.6 mL. In Taiwan, some suggest using one's own thumb and index finger to form a circle that roughly matches the size of the testes. This can help assess whether tes...[Read More] Understanding Male Development: Concerns About Growth and Sexual Health