Understanding Male Infertility: Essential Steps for Diagnosis and Treatment
Infertility Hello, Dr. Hsu: I have been married for over four years. Three years ago and recently, I underwent two semen analyses, both showing "no sperm present." Dr. Luo from the Department of Obstetrics and Gynecology referred me to the Department of Obstetrics and G...
Dr. Xu Weikai Reply:
Azoospermia generally requires consideration of: 1. Obstruction of the vas deferens or ejaculatory duct. 2. Undeveloped testes. 3. Abnormal hormone levels or endocrine issues, as well as other factors. Based on your report indicating low male hormone levels, I recommend the follo...[Read More] Understanding Male Infertility: Essential Steps for Diagnosis and Treatment
Understanding Voice Changes: A Teen's Concerns About Development
Unchanged I am a high school sophomore and I am nearly 18 years old, but it seems I have never gone through voice change, and my voice still sounds like that of an elementary school student. This has made me feel a bit self-conscious, but my family is quite conservative, and my p...
Dr. Song Zhixian Reply:
Bilateral inguinal hernia surgery is generally safe and without concerns. In very rare cases in young children, accidental damage to the vas deferens can lead to male infertility. The testes themselves cannot be damaged in a way that causes male hormone deficiency. However, if th...[Read More] Understanding Voice Changes: A Teen's Concerns About Development
Understanding and Managing Uncontrollable Erections in Young Men
Physiological issues As a freshman this year, I sometimes find it hard to control my physiological responses, particularly experiencing spontaneous erections, especially when I think about girls or sexual topics. Sometimes, when I am talking or hanging out with girls, I also sudd...
Dr. Liu Jianting Reply:
Congratulations, your development is normal. In fact, around the age of 20, males often exhibit heightened sexual drive due to the influence of male hormones (testosterone). However, this is also a crucial time to learn how to control one's impulses and desires. This disting...[Read More] Understanding and Managing Uncontrollable Erections in Young Men
Navigating Male Menopause: Tips for Supporting Your Father at 56
Male menopause Hello doctor, my father is 56 years old and seems to be experiencing symptoms similar to male menopause. What can I do to help him through this period?
Dr. Huang Yingzhe Reply:
Male menopause is a recently emerging topic, with causes similar to those of female menopause, both resulting from a decline in sex hormones that triggers a series of physiological and psychological symptoms. The manifestation and severity of these symptoms can vary significantly...[Read More] Navigating Male Menopause: Tips for Supporting Your Father at 56
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...[Read More] Understanding Male Infertility: A Patient's Journey with Hypogonadotropic Hypogonadism
Should I Insist on HCG for Hypogonadotropic Hypogonadism Treatment?
Pituitary gland dysfunction syndrome I am a patient with hypogonadotropic hypogonadism. After being discharged from military training at Cheng Kung University, I was referred to Chang Gung Memorial Hospital, where I underwent MRI and chromosome testing, both of which showed no is...
Dr. Huang Yingzhe Reply:
Response: If the goal is to maintain male characteristics and sexual function, using testosterone patches is sufficient; however, if fertility is a consideration for the future, it is advisable to continue using HCG, as testosterone may inhibit the processes related to spermatoge...[Read More] Should I Insist on HCG for Hypogonadotropic Hypogonadism Treatment?