Testosterone, Urology FAQ

Understanding Finasteride Side Effects: Sexual Dysfunction Concerns

Side effects of taking finasteride? I am 34 years old and currently taking finasteride at a reduced dose of 0.6 mg per day for hair loss. However, I am still experiencing significant sexual side effects, including a lack of libido and erectile dysfunction. My testosterone levels ...

Dr. Du Mingyi Reply:
Elevated testosterone levels can indeed lead to hair loss. As for libido and sexual function, they can often be significantly influenced by psychological factors, making it difficult to pinpoint the exact cause. It may be beneficial to continue the medication and monitor the effe...

Understanding Erectile Dysfunction: Causes, Tests, and Treatment Options

Sexual dysfunction I am 34 years old and have experienced a significant decline in sexual function over the past few years. I do not smoke or drink alcohol, sleep a full 7 hours every night, have a normal BMI, and do not have any issues with hypertension, diabetes, or hyperlipide...

Dr. Fu Shizhang Reply:
Regarding libido, if male hormone levels are normal, it is often related to the negative effects of work or life stress. As for erectile function, low-intensity shockwave therapy often needs to be combined with the use of medications like Cialis, so this treatment approach is ind...

Understanding Premature Ejaculation: Causes and Solutions for Young Men

Premature ejaculation issues? Hello Dr. Fu, I am 23 years old. Recently, I experienced severe premature ejaculation during intercourse with my girlfriend, and I felt a strong urge to ejaculate regardless of whether I had an erection. I visited a local urologist, and it was determ...

Dr. Fu Shizhang Reply:
It is recommended to maintain a regular exercise routine and to quit smoking, as well as to avoid excessive physical strain. If premature ejaculation persists, it is advisable to seek treatment at a clinic.

Understanding Erection Issues: Can Cialis Help with Psychological and Vascular Factors?

Difficulty achieving an erection during foreplay? 1. I would like to ask the doctor if both psychological anxiety factors and venous leakage causing insufficient rigidity during foreplay can be improved by taking Cialis. All my blood tests have come back normal (with testosterone...

Dr. Du Shixi Reply:
Hello: 1) Cialis is generally effective or shows improvement, but stopping the medication may lead to a return of the same condition. 2) Morning erections indicate that blood vessels are generally functioning normally. 3) Medication is a quicker method, but the foundation should ...

Overcoming Performance Anxiety: Why Self-Stimulation Helps During Sex

During sexual intercourse, it is necessary to rely on masturbation to facilitate penetration into the vagina? Hello Doctor, I have a question. When I think about having sex with my girlfriend, my penis can be quite firm and hard. However, when we actually undress and start forepl...

Dr. Du Shixi Reply:
Hello: Your function seems to be generally fine, but it's important to reduce reliance on masturbation and adult films. If it becomes a habit, it may affect real sexual experiences. Wishing you good health.

Understanding Male Menopause: Testosterone Levels and Erectile Function

Male menopause? Recently, I have been experiencing erectile dysfunction, decreased sensitivity in the glans, and low libido. (1) Could this be related to low testosterone levels? (My blood test result from 2 years ago was 265 ng/dl.) (2) Is testosterone supplementation covered by...

Dr. Fu Shizhang Reply:
1. It is possible. 2. If confirmed as deficient, supplementation is covered. 3. Yes. 4. Unless there is an impact on the nerves, it is generally unrelated to steroids.

Understanding Testicular Atrophy and Compensatory Growth in Urology

Testicular issues If one testicle atrophies, the other side may undergo compensatory hypertrophy. This occurs because the remaining testicle takes on the increased workload of testosterone production and sperm production. Yes, physicians have encountered patients with this condit...

Dr. Du Shixi Reply:
Hello: It is difficult to determine compensation; the size of the testicles is 4-5 cm in length, 3 cm in width, and 2.5 cm in thickness (as stated in textbooks). Wishing you good health.

Low Testosterone in Men: Causes, Symptoms, and Natural Remedies

Low male hormone levels!! Earlier this year, while cooking fried rice with my wife, I accidentally got kicked in the left testicle! I couldn't continue at that moment! After that, I started experiencing some sexual function issues, finding it harder to achieve an erection. E...

Dr. Du Shixi Reply:
Hello: There are some health food supplements that contain ingredients which can be converted into male hormones in the body, which can be used to boost hormone levels. However, you may also need to exercise, lose weight, maintain a normal lifestyle, and ensure adequate sleep. At...

Understanding Sudden Loss of Libido: Causes and Solutions

Loss of libido? Hello, doctor. About five months ago, I suddenly lost my sex drive, and I don't know why. I went to see a doctor, and after a blood test, the doctor said my testosterone level was 550. The doctor mentioned that at my age, it could be higher, but it was still ...

Dr. Du Shixi Reply:
Hello: It seems more related to psychological factors. If you don't want to, it's best to temporarily stop sexual activity and avoid watching adult films. If there is no improvement after two weeks, you should visit a urologist. Some doctors specialize in sexual functio...

Does Sustanon Cause Hair Loss or Cancer Risks? Exploring Alternatives

Will Sustanon cause hair loss and cancer? I sought consultation with a urologist due to low libido. Although my testosterone levels were found to be within the normal range, they were on the lower side. The doctor recommended testosterone replacement therapy with Sustanon. Will t...

Dr. Xu Wencang Reply:
There is a risk associated with the duration of use. The benefits and improvements can be reassessed. There are also topical male hormones available.

Understanding Erectile Issues: Causes and Solutions for Young Men

Not hard enough to penetrate? Hello, doctor! I would like to ask for your assessment on my situation and what would be the best course of action. I have no prior sexual experience (due to phimosis, which caused pain during intercourse, and I later underwent a circumcision). After...

Dr. Du Shixi Reply:
There have been too many similar questions; please refer to our frequently asked questions. Hello: Exercise does not need to be excessive or prolonged; just half an hour a day is sufficient. If you experience frequent morning erections that are firm (like the hardness of a cucumb...

Understanding Erectile Dysfunction: Causes and Solutions for Young Men

Urology has not improved? Hello, doctor. I am 24 years old and have visited the urology department two or three times. My testosterone levels were normal, and the doctor prescribed me erectile dysfunction medication, which was effective. The doctors advised me to keep observing m...

Dr. Du Shixi Reply:
Hello: 1. It is possible but not easy to diagnose. 2. It is important to consider organic issues, so it is best to consult a specialist in sexual function for treatment (usually found in medical centers). Treatment may take a long time, and it may not be effective within 1-2 mont...

Understanding Erectile Dysfunction: Causes and Solutions for Young Men

Erectile dysfunction concerns? Hello doctor, I am 24 years old. Before I started dating my current girlfriend, I had issues with insufficient erection hardness during masturbation, which led to quick loss of erection after ejaculation or becoming soft with just a slight distracti...

Dr. Du Shixi Reply:
Hello: Your condition requires an examination by a specialized urologist. There are many causes of erectile dysfunction, and since general tests have been conducted and returned normal, it is advisable to consult a urologist at a specialized hospital (some have expertise in sexua...

Self-Assessment Guide for Identifying Erectile Dysfunction Causes

How to Self-Test for Erectile Dysfunction Hello Doctor, I apologize for interrupting your valuable time. I’m not sure how long it has been, but I’ve come to realize that I have erectile dysfunction. Whether it’s with my girlfriend, watching adult films, or after exercising, my bo...

Dr. Liu Jiaju Reply:
If your condition does not improve after a period of time, you should seek medical attention, consult a professional physician for diagnosis, and arrange appropriate tests to determine the underlying cause for targeted treatment.

Understanding Testosterone Testing and Erectile Dysfunction Issues

Blood test for testosterone and erectile dysfunction issues? Hello Doctor, I would like to ask two questions. The first is about blood tests for testosterone. During the Mid-Autumn Festival last year, I went to a large hospital and fasted for either 8 or 12 hours before having my...

Dr. Du Shixi Reply:
Hello: There are many factors affecting sexual function. Even with sufficient testosterone levels, poor penile engorgement can also be a contributing factor to erectile difficulties. Yes, but there are other possible factors as well. Regarding the ability of penile engorgement, i...

Impact of Varicocele on Testosterone Levels and Testicular Health

Varicocele 1. Does testicular atrophy caused by varicocele affect testosterone levels? 2. If the testicle has become softer and smaller, can it recover to a healthy state after surgery? 3. Recently, I have developed a lot of hair on my inner thighs; does this indicate suffici...

Dr. Du Shixi Reply:
Hello: 1. It is not necessarily required to have a blood test, but in my outpatient experience, I have not seen young individuals with levels below the standard. 2. Most likely, it will not recover. 3. Excessive hair growth is related to androgens; if you are concerned, a blood t...

Understanding Testosterone Levels: A Guide to Testing and Concerns

Testosterone levels Hello Doctor: I have noticeable secondary sexual characteristics (lots of body hair), but I am still a bit concerned that low testosterone levels may affect penile development. I would like to know the process for getting a blood test at the hospital. Do I nee...

Dr. Du Shixi Reply:
Hello: Please consult a physician first and explain your symptoms, mentioning that you would like to have a testosterone test. Thank you for your inquiry.

Understanding Erectile Issues: Exploring Causes and Solutions

Regarding erection? Hello Doctor: I have been able to engage in sexual intercourse smoothly in the past, but it seems that my erections diminish quickly without stimulation. For instance, when I put on a condom, I sometimes become semi-erect and need additional stimulation to reg...

Dr. Du Shixi Reply:
Hello: If your blood test results are normal, you should focus on lifestyle changes. Maintain a balanced diet (avoid excessive oil), walk for at least half an hour every day (at least four days a week), and ensure you get enough sleep. Plan for rest on weekends and avoid being ov...

Managing Excessive Sexual Urges: Health Risks and Solutions

Excessive sexual desire has become overwhelming for the body? I am currently a junior in college, and I have had a habit of masturbation since middle school, sometimes up to three times a day. Traditional Chinese medicine suggests that this is harmful to my health, and I often fe...

Dr. Sun Hongshun Reply:
Hello: It is recommended that you visit a urology clinic to check for any issues related to your organs or endocrine system that may require attention. If necessary, you may also seek counseling and assistance at a psychiatry clinic. Wishing you good health.

Understanding Low Testosterone: Causes, Effects, and Solutions

Testosterone issues I have had low testosterone levels for about two years. Recently, I went to Linkou Chang Gung Memorial Hospital for hormone tests, and all the results were normal. I have been taking methyltestosterone prescribed by a psychiatric clinic, but it doesn't se...

Dr. Xu Wencang Reply:
Follow-up treatment at the urology outpatient clinic.

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