Understanding Klinefelter's Syndrome: Symptoms and Diagnosis Insights
Suspected Klinefelter syndrome Hello Doctor: After moving into the university dormitory, I noticed that my body differs from that of typical males. Most males should have developed similarly by the time they reach college, but I feel like my physique has remained at a pre-puberta...
Dr. Du Shixi Reply:
Hello: I have not encountered this condition personally, and it may be necessary to go to a medical center for examination. If there is suspicion, genetic testing should be conducted. Wishing you good health.[Read More] Understanding Klinefelter's Syndrome: Symptoms and Diagnosis Insights
Understanding Varicocele: Risks, Treatment Timing, and Testosterone Impact
Varicocele Hello Doctor, I have been suffering from varicocele for several years, and the severity should be moderate to severe. I usually do not experience any pain, and my testicles have not shrunk, so I have not seen a doctor. I only wear supportive underwear to alleviate disc...
Dr. Du Shixi Reply:
Hello: (1) If varicocele is left untreated for too long before seeing a doctor for surgery, will it be too late and cause severe damage to the testicles that cannot be reversed? --> There will be damage, but it may be more practical to focus on lifestyle changes. If lifestyle ...[Read More] Understanding Varicocele: Risks, Treatment Timing, and Testosterone Impact
Understanding Erectile Issues: Causes, Concerns, and Solutions for Young Men
Erectile dysfunction I am 177 cm tall and weigh 81 kg. My penis size is 5 cm when flaccid and 11 cm when erect, with a width of 4 cm. Is this size normal? Am I too small? Is it normal to masturbate twice a week? Could this be considered excessive? I usually ejaculate in about thr...
Dr. Cai Zhuorong Reply:
1. Normal 2. No 3. Masturbating twice a week: normal 4. Will it be excessive: No 5. Is it normal to ejaculate after about three minutes of masturbation: Normal 6. I'm very worried that it won't be ideal when I have sex with my girlfriend in the future: Worry a...[Read More] Understanding Erectile Issues: Causes, Concerns, and Solutions for Young Men
Understanding Erectile Issues: Causes and Solutions for Men
Erectile dysfunction/glans penis I would like to ask if excessive masturbation in the past could be the reason for my recent unusual erection sensations. I find that I don't achieve sufficient hardness when viewing stimulating content and need to use my hand to achieve an er...
Dr. Fu Shizhang Reply:
The likelihood of organic causes is low; it may be advisable to consider reducing the frequency of masturbation.[Read More] Understanding Erectile Issues: Causes and Solutions for Men
Understanding Erectile Dysfunction in Young Men: Causes and Solutions
Erectile dysfunction Hello, doctor. I would like to ask if young people can experience erectile dysfunction. Sometimes when I watch videos, I find it difficult to achieve an erection, or it’s not very firm, and if I get distracted, it becomes soft. Additionally, when I masturbate...
Dr. Cai Zhuorong Reply:
Your condition is currently difficult to assess. You may wait until you experience erectile dysfunction during intercourse with your partner before seeking medical attention.[Read More] Understanding Erectile Dysfunction in Young Men: Causes and Solutions
Varicocele and Testosterone Issues: Understanding Risks and Treatment Options
Varicocele and Testosterone Issues Hello Doctor: About 5 to 6 years ago, I was diagnosed with a varicocele, and at that time, the doctor advised against surgery. Recently, I went for a follow-up examination, and the doctor informed me via ultrasound that I have a grade 4 varicoce...
Dr. Cai Zhuorong Reply:
1. Could this be a case of testicular atrophy caused by varicocele? Generally, the average size of a testicle is about 2x3x4 cm. Based on your description, the left one is 3 cm smaller than the right. What are the actual sizes of each testicle? 2. How urgent is the need for surg...[Read More] Varicocele and Testosterone Issues: Understanding Risks and Treatment Options
Managing Prostate Cancer: Diet Tips and Concerns for Patients
Prostate cancer I have prostate cancer stage T3, and my PSA level has stabilized at 0.03 after surgery. My attending physician advised me: 1. Avoid excessively fatty foods, 2. Do not take supplements that boost vitality, as they may increase testosterone levels. I consume about 2...
Dr. Xu Wencang Reply:
Follow the medical advice and undergo regular follow-up treatment.[Read More] Managing Prostate Cancer: Diet Tips and Concerns for Patients
Low Testosterone, Clomiphene Use, and Infertility Concerns Explained
Low testosterone levels, the medication Clomiphene, and infertility issues? Hello, doctor. Recently, I experienced symptoms such as palpitations, difficulty breathing, sudden coldness in my hands and feet, dizziness, numbness in my limbs, and a feeling of heat, which led to a dia...
Dr. Xu Wencang Reply:
1. Testosterone injections can cause infertility. 2. Please visit the outpatient clinic for evaluation and treatment.[Read More] Low Testosterone, Clomiphene Use, and Infertility Concerns Explained
Understanding Erectile Issues: Causes and Solutions for Men
Penile issues Hello doctor, how are you? Recently, I've noticed that my erections are not as firm as they used to be, and they soften easily when I lose focus. I went to the hospital and the doctor drew blood, stating that my testosterone levels are normal and that this is a...
Dr. Chen Jiansheng Reply:
Lack of clinical assessment makes it impossible to provide an answer.[Read More] Understanding Erectile Issues: Causes and Solutions for Men
Understanding Erection Issues: When to Seek Help for Sexual Health Concerns
Erectile dysfunction Sometimes I find it difficult to achieve an erection, whether it's from imagination or watching adult films. Even if I do get an erection, it becomes soft when my focus shifts. This makes me worry that there might be something wrong with my body, and I...
Dr. Du Mingyi Reply:
As long as there is the ability to achieve an erection, it is considered normal. There is no need for excessive worry, as occasional softness is a normal phenomenon related to physical condition and psychological factors.[Read More] Understanding Erection Issues: When to Seek Help for Sexual Health Concerns
Understanding Testosterone Deficiency After Pituitary Surgery: Risks and Fertility
Hypogonadism due to pituitary dysfunction? Hello doctor, seven years ago I underwent surgery for a pituitary tumor, and my testosterone level was 0.8 after the operation. After using transdermal testosterone supplementation, it increased to 2.7. I have read that testosterone supp...
Dr. Fu Shizhang Reply:
1. The probability of pregnancy should be assessed based on sperm quality rather than solely on testosterone levels. 2. Generally speaking, this will not be affected.[Read More] Understanding Testosterone Deficiency After Pituitary Surgery: Risks and Fertility
Understanding Erectile Dysfunction: Causes, Treatments, and Concerns
Erectile dysfunction Hello Doctor: I have had a long-term habit of masturbation, averaging once a day for about ten years. Recently, I have noticed significant issues with my erectile function. The hardness is insufficient, especially at the base, which remains flaccid even after...
Dr. Du Mingyi Reply:
First, changing the habit of excessive masturbation and watching pornography usually leads to recovery. If there are still issues, then seeking consultation at a urology clinic is advisable.[Read More] Understanding Erectile Dysfunction: Causes, Treatments, and Concerns
Effects of Masturbation After Varicocele Surgery: What to Know
Masturbation after varicocele surgery? After undergoing varicocele surgery, masturbating twice around 12 days post-operation may not have significant adverse effects, but it is essential to listen to your body and avoid any activities that cause discomfort. Regarding varicocele, ...
Dr. Du Mingyi Reply:
I can't do that.[Read More] Effects of Masturbation After Varicocele Surgery: What to Know
Understanding Low Testosterone: Symptoms, Treatments, and Concerns
Low testosterone Hello Dr. Du, I have been feeling fatigued for a long time and need to sleep over ten hours every night. Since puberty, I have experienced mild gynecomastia symptoms (with hard lumps under the nipples). I conducted hormone tests, and the results showed a total t...
Dr. Du Mingyi Reply:
Early use of hormone therapy can affect fertility, so it is not recommended. Given your current testosterone levels, there is no need for special supplementation. If you really need to consult an expert, you can visit Dr. Huang Chih-Hsien at Taipei Veterans General Hospital.[Read More] Understanding Low Testosterone: Symptoms, Treatments, and Concerns
What to Do If Your Testosterone Levels Are Below Normal?
What should I do if my testosterone levels are below the standard? Hello Dr. Du: Due to prolonged excessive sexual activity (about 7 years, 1-2 times daily, and recently needing to engage at least once at night to sleep well), I have recently noticed a decrease in erection hardne...
Dr. Du Mingyi Reply:
It is not recommended to start hormone replacement therapy at the age of 33, especially if you have not had children yet, as it may increase the risk of infertility. It is advisable to focus on lifestyle adjustments, such as ensuring adequate sleep of at least 7 hours, increasing...[Read More] What to Do If Your Testosterone Levels Are Below Normal?
Understanding Testosterone Levels: Is 4.350 Normal or Low?
Testosterone level testing issues? The blood test was primarily focused on thalassemia issues, but testosterone was also tested (I really have very little facial hair). I would like to ask the doctor if a testosterone level of 4.350 is considered normal or low? If it is low, what...
Dr. Du Shixi Reply:
Hello: It depends on the unit of measurement; if the levels are low, the physician should explain, and there are normal values indicated in the report. Wishing you good health. If levels are too low, medication may be prescribed.[Read More] Understanding Testosterone Levels: Is 4.350 Normal or Low?
Understanding Low Testosterone in Young Men: Symptoms and Solutions
Male hormones I had a blood test a year ago that showed low levels of male hormones, but the doctor said no further treatment was necessary. Now, at 19 years old, I still have very subtle secondary sexual characteristics; I haven't developed underarm hair, facial hair, or no...
Dr. Du Shixi Reply:
Hello: If secondary sexual characteristics are still not very pronounced at the age of 20, it is advisable to consult a medical center for evaluation. Ensure adequate sleep, proper nutrition, and engage in moderate exercise. Wishing you good health.[Read More] Understanding Low Testosterone in Young Men: Symptoms and Solutions
Understanding Premature Ejaculation: Causes and Solutions
Premature ejaculation Hello, doctor. I have been experiencing some issues with my current girlfriend (my first partner) during sexual intercourse (about three or four times on different nights). 1. On one or two occasions during foreplay, I was unable to achieve an erection. 2. A...
Dr. Chen Jiansheng Reply:
After taking a break, try again. If it still doesn't work, you may consider pharmacological treatment.[Read More] Understanding Premature Ejaculation: Causes and Solutions
Overcoming Sexual Dysfunction: Seeking Solutions for Low Libido and Orgasm Issues
Inability to achieve orgasm? Hello, Doctor: My main issue currently is the lack of sexual pleasure and the inability to reach orgasm. I can achieve an erection and ejaculate, but the hardness is not as it used to be. The frequency of morning erections has significantly decreased,...
Dr. Fu Shizhang Reply:
It is recommended to arrange for an autonomic nervous system evaluation in the neurology department to determine if the functional impairment is caused by neurological factors.[Read More] Overcoming Sexual Dysfunction: Seeking Solutions for Low Libido and Orgasm Issues
Understanding Penis Development Issues in Young Adults: Causes and Concerns
Penile issues I am 18 years old, but my penis has not yet developed to the size typical of adults; it is still relatively small when flaccid. The foreskin has not naturally retracted, and I can manually push it down without discomfort, both when erect and flaccid. I weigh 100 kil...
Dr. Du Shixi Reply:
Hello: Low testosterone levels --> blood tests are required. Additionally, due to the presence of oils, it may appear less pronounced. Wishing you good health.[Read More] Understanding Penis Development Issues in Young Adults: Causes and Concerns