Understanding Beta-HCG Levels and Their Implications After Testicular Cancer Surgery
The mechanism of beta-HCG (beta-human chorionic gonadotropin) involves its role as In response to Dr. Du's question: What is the unit of beta-HCG for determining the stage post-surgery? How long has it been since the surgery? Stage IA, with all indices normal. The unit for b...
Dr. Du Shixi Reply:
Hello: Your situation may still require discussion with your attending physician regarding the possibility of recurrence or subsequent treatment that may necessitate imaging studies. Please refer to http://www.tand.org.tw/publications/into.asp?/365.html for normal values in males...[Read More] Understanding Beta-HCG Levels and Their Implications After Testicular Cancer Surgery
Understanding Beta-HCG Fluctuations in Testicular Cancer Patients
The mechanism of beta-HCG (beta-human chorionic gonadotropin) involves its role as Hello, I am a patient with testicular cancer, specifically embryonal carcinoma, and I have undergone surgical resection. Recently, my beta-HCG levels have shown an upward trend, fluctuating from in...
Dr. Du Shixi Reply:
Hello, could you please tell me what the unit of measurement for beta-HCG is when determining the stage after surgery? How much time has passed since the surgery? Wishing you good health.[Read More] Understanding Beta-HCG Fluctuations in Testicular Cancer Patients
Should You Supplement Testosterone If Levels Are Low but Normal?
At what level of testosterone is supplementation necessary? Hello Doctor, I am 27 years old, not overweight, and have no other health issues. I regularly work out, and recently my company conducted a health check. The results showed that my testosterone level is relatively low, w...
Dr. Cai Zhuorong Reply:
Generally, a testosterone level greater than 300 ng/dL at the age of 27 rarely requires supplementation. It is advisable to explore other potential causes of fatigue. A level of 394 ng/dL is considered normal and does not necessitate medical attention.[Read More] Should You Supplement Testosterone If Levels Are Low but Normal?
Understanding Morning Erections: Causes and Solutions for Erectile Issues
In the morning, there is no morning erection, and the firmness is lacking? I have been doing DIY almost every day since I was 12 years old. Previously, even after DIY, I would still wake up with an erection, typically at an angle around 11 o'clock. When I needed to urinate, ...
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Understanding Morning Erections: Causes and Solutions for Erectile Issues
Understanding Decreased Libido: Causes and Treatment Options for Men
Decreased libido? Hello, Dr. Tsai. I had surgery for a lower limb fracture due to a car accident, which led to elevated blood pressure, and I have been taking antihypertensive medication daily for the past five months. My wound has just healed. A month ago, I experienced a sudden...
Dr. Cai Zhuorong Reply:
Blood pressure medications generally do not affect libido, but beta-blockers may directly impact erectile function. Hormones are indeed a common factor influencing libido; typically, hormone levels fluctuate over time and may not necessarily require supplementation.[Read More] Understanding Decreased Libido: Causes and Treatment Options for Men
Evaluating BPH: Is Transrectal Ultrasound Safe for Prostate Cancer Screening?
BPH Rectal Ultrasound My father is a 73-year-old male with a medical history of hypertension and diabetes for over 15 years, as well as G6PD deficiency. He underwent thyroidectomy three years ago due to thyroid nodules. Current vital signs show BP: 128/76 mmHg. Laboratory results...
Dr. Cai Zhuorong Reply:
Is it appropriate to perform a "rectal ultrasound" under local anesthesia? Is the risk associated with this procedure high? There is a certain level of risk, primarily related to infection; however, not undergoing a biopsy also carries the risk of missing a timely diagn...[Read More] Evaluating BPH: Is Transrectal Ultrasound Safe for Prostate Cancer Screening?
Can Testicular Atrophy Be Treated? Understanding Symptoms and Solutions
Testicular atrophy issues? Recently, I went to Taipei Medical University and Chang Gung Memorial Hospital with my wife for blood tests and physical examinations as we are trying to conceive. After the examination, the doctor found signs of atrophy. The blood test results showed T...
Dr. Fu Shizhang Reply:
It is very unfortunate that if there is severe atrophy, it may not be possible to restore it to its original state. Online consultations cannot replace an in-person examination and physical assessment by a physician. It is still recommended to seek medical attention at a healthca...[Read More] Can Testicular Atrophy Be Treated? Understanding Symptoms and Solutions
Does a Sudden Increase in Testosterone Affect PSA Levels?
A sudden increase in testosterone levels can affect PSA (prostate-specific antigen) values. Elevated testosterone may lead to an increase in PSA levels, which could potentially indicate prostate issues. It is important to monitor PSA levels in conjunction with testosterone therap...
Dr. Li Minghui Reply:
Hello: After surgery, theoretically there should be no cancer cells and no issues related to testosterone. PSA can be used to monitor treatment effectiveness, and regular check-ups are sufficient. As for why it was so low last month, it is worth considering whether hormone therap...[Read More] Does a Sudden Increase in Testosterone Affect PSA Levels?
Understanding Sudden PSA and Testosterone Level Changes After Surgery
Sudden increase in values? Hello, I have recently undergone a Da Vinci robotic surgery for prostatectomy. I would like to ask: 1. My PSA level has decreased to 0.191, but last month's level was 0.186. 2. My testosterone level is currently 231.43, which is seven times higher ...
Dr. Du Shixi Reply:
Hello: After surgery, theoretically, there should be no cancer cells and no issues related to testosterone. PSA can be used to monitor the effectiveness of treatment, and regular check-ups are sufficient. As for why it was so low last month, it may be related to whether hormone t...[Read More] Understanding Sudden PSA and Testosterone Level Changes After Surgery
Does a Sudden Increase in Testosterone Affect PSA Levels?
A sudden increase in testosterone levels can affect PSA (prostate-specific antigen) values. Elevated testosterone may lead to an increase in PSA levels, which could potentially indicate prostate issues. It is important to monitor PSA levels in conjunction with testosterone therap...
Dr. Li Minghui Reply:
Hello: After surgery, theoretically there should be no cancer cells and no issues related to testosterone. PSA can be used to monitor the effectiveness of treatment, and regular check-ups are sufficient. As for why it was so low last month, it may be related to whether hormone th...[Read More] Does a Sudden Increase in Testosterone Affect PSA Levels?
Understanding Sexual Dysfunction After Masturbation: Causes and Solutions
Sexual function..? Hello doctor, after an incident of masturbation last year, I started experiencing issues with my sexual function. During that session, when I was about to climax, I used diaphragmatic breathing to hold my breath and tense my abdomen in an attempt to suppress th...
Dr. Xu Wencang Reply:
If there is persistent erectile dysfunction, a follow-up visit to the clinic for evaluation is recommended, and medication treatment options may be available.[Read More] Understanding Sexual Dysfunction After Masturbation: Causes and Solutions
Understanding Erectile Dysfunction: Causes, Diagnosis, and Treatment Options
Erectile dysfunction and impotence issues? Hello, I have been experiencing this condition for six months. Six months ago, when I wanted to engage in sexual activity, I noticed a lack of response in my genital area. The next day, I suddenly realized that my morning erections had d...
Dr. Jian Weihong Reply:
Hello: If the issue is related to blood vessels, it is important to focus on diet and exercise to prevent vascular problems, which can lead to erectile dysfunction. If you have the time, it is advisable to consult a urologist specializing in sexual function at a medical center fo...[Read More] Understanding Erectile Dysfunction: Causes, Diagnosis, and Treatment Options
Impact of Childhood Urinary Tract Infections on Adult Hormonal Function and Size
Urinary tract infection (UTI) If a person had a urinary tract infection in childhood that went untreated until the age of 17, will this affect testosterone secretion or penile size in adulthood?
Dr. Du Shixi Reply:
Hello: The scenario you assumed is unlikely to occur. A urinary tract infection will not affect testosterone secretion function in adult males or the size of the penis. Wishing you good health.[Read More] Impact of Childhood Urinary Tract Infections on Adult Hormonal Function and Size
Understanding Erectile Dysfunction in Young Men: Causes and Solutions
Erectile dysfunction Hello Doctor, I am 26 years old. In the past, I masturbated on average 1-2 times a day. Since I was 22, I started going to nightclubs and have had one-night stands, with the number possibly reaching three digits. However, in the past year to a year and a half...
Dr. Chen Jiansheng Reply:
Take a break.[Read More] Understanding Erectile Dysfunction in Young Men: Causes and Solutions
Understanding Low Testosterone: Symptoms, Risks, and Treatment Options
Testosterone deficiency Hello Doctor: I would like to ask you about low testosterone levels. I am currently 35 years old and unmarried. My libido has decreased significantly (from DIY three times a week to once every two weeks). I often feel sleepy after dinner and sometimes expe...
Dr. Du Shixi Reply:
Hello: 1. Will the testicular function of sperm production be permanently damaged after this, or will it return to normal once the injections are stopped? I've also heard that the testicles may shrink—it's advisable to visit a medical center to identify any underlying...[Read More] Understanding Low Testosterone: Symptoms, Risks, and Treatment Options
Understanding the Side Effects of Hair Loss Medications on Testosterone and Bone Health
Medications for treating male pattern baldness? I had been taking Finasteride, also known as Propecia, for quite a while and later discovered that my testosterone levels had decreased and I was experiencing depressive tendencies. I later learned that these might be side effects o...
Dr. Du Shixi Reply:
Hello: The information provided here is for reference only and cannot replace a physician's examination and testing. 1. The dosages of the active ingredients in Rogaine and Propecia differ. 2. According to the package insert, the most commonly reported side effects include: ...[Read More] Understanding the Side Effects of Hair Loss Medications on Testosterone and Bone Health
Understanding Erection Hardness Issues: Causes and Solutions
Erectile hardness issues? Hello, Dr. Du. I apologize for disturbing you during your busy schedule. I have been masturbating since middle school and have developed a liking for watching adult content while doing so. In the past, I didn't know how to control myself, so I would...
Dr. Du Shixi Reply:
Hello: 1. Is it better to completely abstain from masturbation or to try to refrain for a longer period? -- No need. 2. Because my foreskin is longer, it doesn't fully retract when erect, but I can easily push it back with my hand. Could the softer appearance be an illusio...[Read More] Understanding Erection Hardness Issues: Causes and Solutions
Understanding Erectile Dysfunction: Causes, Diagnosis, and Solutions
Erectile dysfunction Hello, doctor. I am currently 25 years old and a graduate student. Recently, I have noticed that my erectile function and hardness are insufficient during intercourse with my girlfriend, so I went to the hospital for an examination. My testosterone level was ...
Dr. Fu Shizhang Reply:
Theoretically, it is not necessary, as weak veins with leakage will not improve with exercise. If exercise does lead to improvement, the primary treatment approach would still focus on adjusting lifestyle habits, supplemented by medication if needed.[Read More] Understanding Erectile Dysfunction: Causes, Diagnosis, and Solutions
Understanding Genital Concerns: Hormones and Circumcision Options
Genital issues Hello doctor, I am 16 years old and in my first year of high school. My penis measures only 11 centimeters. Would taking testosterone before the end of puberty help increase its size? Additionally, my foreskin can be easily retracted when soft, but when erect, it b...
Dr. Chen Jiansheng Reply:
A foreskin length of approximately 11 centimeters can affect erection. Surgical circumcision may be performed as a treatment.[Read More] Understanding Genital Concerns: Hormones and Circumcision Options
Understanding Gynecomastia Surgery: Addressing Post-Operative Erectile Dysfunction
Gynecomastia excision I would like to ask the doctor about gynecomastia surgery and its potential impact on erectile dysfunction. I have consulted other doctors, but they couldn't identify any issues. My testosterone levels are around 400-500, and other values are normal. I ...
Dr. Du Shixi Reply:
Hello: I have no personal experience in this area, so it should not have any impact. Please discuss with your attending physician. Wishing you good health. If there is insufficient rigidity, a consultation with a urologist is recommended, as there are generally medications availa...[Read More] Understanding Gynecomastia Surgery: Addressing Post-Operative Erectile Dysfunction