Low Testosterone: Effects on Fertility and Treatment Options
Hypogonadism I have had low testosterone for a long time. After reviewing my report, the doctor prescribed testosterone replacement therapy, but it doesn't seem to be effective. Will testosterone supplementation cause infertility?
Dr. Fu Shizhang Reply:
It is recommended to investigate the causes of low testosterone levels. For males of reproductive age, supplementation with high testosterone may indeed lead to a decline in sperm quality. Online consultations cannot replace an in-person evaluation and physical examination by a p...[Read More] Low Testosterone: Effects on Fertility and Treatment Options
Understanding Erectile Dysfunction: Causes and Solutions for Men
Insufficient erectile hardness issue? Hello, doctor. Currently, my erection hardness is not as it used to be. Whether I try DIY or watch adult videos, the hardness is insufficient due to inadequate blood flow. Additionally, if there is no continuous stimulation, the erection soft...
Dr. Du Shixi Reply:
Hello: Long-term erectile dysfunction should be considered as a vascular issue, but it is also important to check testosterone levels and review any antihypertensive medications you are using. These assessments should be made by a physician. Additionally, there are several steps ...[Read More] Understanding Erectile Dysfunction: Causes and Solutions for Men
Understanding Low Testosterone Levels: Causes and Concerns
Low testosterone levels? Hello, Doctor: Recently, I had a blood test to check my testosterone levels, which came back at 2.64 (with the normal reference range being 1.75-7.81). I don't have any other obvious symptoms, but why is my testosterone level so low? Could it be due ...
Dr. Du Shixi Reply:
Hello: Here are a few recommendations: ensure adequate sleep (8 hours), maintain a regular exercise routine, consume a high-protein diet (at least sufficient), reduce carbohydrate intake, eat plenty of vegetables, and include moderate amounts of healthy fats in your diet. These f...[Read More] Understanding Low Testosterone Levels: Causes and Concerns
Understanding Changes in Erection Angle: Causes and Solutions
The erection is firm enough, but the angle is tilted downward? Hello Dr. Sun: I have sufficient erection hardness, but the angle of my penis is about 90 degrees, and I have recently noticed it has dropped to around 45 degrees. I usually do not have an exercise routine outside of ...
Dr. Sun Hongshun Reply:
Hello: Due to insufficient angle in two days, there is no need to worry excessively. It is still recommended to follow up with an outpatient examination. If you have any requests, the nursing staff will accommodate them. Wishing you good health.[Read More] Understanding Changes in Erection Angle: Causes and Solutions
Understanding Erection Issues: Semen Volume and Color Concerns
Erectile dysfunction issues related to semen volume and color? Hello, doctor. I am 26 years old, single, and have never had a girlfriend. I discovered that I had erectile dysfunction one day in high school. It wasn't until a year and a half ago that I started seeking medical...
Dr. Xu Wencang Reply:
It should not be a concern; wait until you have a stable partner before assessing any potential sexual dysfunction issues. For now, just relax.[Read More] Understanding Erection Issues: Semen Volume and Color Concerns
Understanding Puberty: Concerns About Penis Size and Foreskin Issues
Questions of Puberty Hello doctor, I am a soon-to-be sophomore, 188 cm tall and weighing 80 kg, with no exercise habits. Currently, my average penis length is about 6 cm when flaccid and about 11 cm when erect. During a casual conversation with friends, one of them showed me his ...
Dr. Sun Hongshun Reply:
Hello, Peng: The length and rigidity of the penis are related to genetics, exercise, and lifestyle habits. You are only 16 years old, and you still have many years of development ahead of you. The size of others may vary due to individual development or increased testosterone lev...[Read More] Understanding Puberty: Concerns About Penis Size and Foreskin Issues
Understanding Dry Orgasm: Causes and Concerns in Urology
I'm sorry, but I need more context or content to provide a translation. Please provide the complete text you would like me to It sounds like you are experiencing a condition known as "dry orgasm," where you have the sensation of ejaculation but no semen is expelled...
Dr. Chen Jiansheng Reply:
Hello, sir: After ejaculation, you can go to the hospital for a urinalysis to check for any issues related to retrograde ejaculation. Chen Jian-sheng, Urology Department, Xinying Hospital.[Read More] Understanding Dry Orgasm: Causes and Concerns in Urology
Understanding Erectile Dysfunction: Testosterone's Role in Fertility
Erectile dysfunction with rapid loss of erection: The impact of testosterone on fertility? Hello Doctor, I have encountered a problem since I started having sexual intercourse for the first time in the past six months. My penis does not maintain its hardness for long and becomes ...
Dr. Chen Jiansheng Reply:
Hello, if the symptoms persist for two months without improvement, please consult a urologist for an evaluation of organic erectile dysfunction. If fertility is a concern, it is not recommended to supplement with exogenous testosterone, as it may suppress your own fertility. Chen...[Read More] Understanding Erectile Dysfunction: Testosterone's Role in Fertility
Understanding Hormonal Issues: Concerns About Penis and Scrotum Size
Physiological issues Hello doctor, I am currently 19 years old, but both my penis and scrotum are quite small. Could this be due to a deficiency in testosterone? Which specialty should I consult? If I start hormone replacement therapy now, will my penis and scrotum still grow? I ...
Dr. Fu Shizhang Reply:
It is recommended to consult a urologist for an examination to determine if there are any endocrine issues.[Read More] Understanding Hormonal Issues: Concerns About Penis and Scrotum Size
Understanding Erection Angle: Is Your Sexual Health Normal?
Erection angle issues? Hello, doctor. A few days ago, I visited the urology department regarding my erectile dysfunction issue. I am 25 years old, and while the hardness is acceptable, the angle of my erection is approximately 90 degrees or even slightly less. The doctor told me ...
Dr. Fu Shizhang Reply:
Due to individual differences, the described situation is generally not problematic and can be considered a normal phenomenon. Online consultations cannot replace a physician's in-person examination and physical assessment; it is still recommended to seek medical attention a...[Read More] Understanding Erection Angle: Is Your Sexual Health Normal?
Understanding Varicocele: Risks, Surgery, and Long-Term Effects on Men's Health
Patients with varicocele? Bilateral varicocele with moderate reflux on the left side and no significant reflux on the right side. I am considering left-sided ligation but am concerned that the collateral circulation on the right side may increase the recurrence rate on the left s...
Dr. Fu Shizhang Reply:
1. If the developmental stage has passed, the chance of recovery is low. 2. Not possible. 3. Possible. 4. Lower than other surgical methods. 5. Pain or impact on sperm quality.[Read More] Understanding Varicocele: Risks, Surgery, and Long-Term Effects on Men's Health
Overcoming Erectile Issues: Testosterone Levels and Lifestyle Changes
Experiencing erectile dysfunction during intercourse can be a common issue? Hello Doctor, I am 30 years old. Recently, I noticed that I can achieve a full erection during intercourse, but I can only maintain it for less than a minute. It becomes soft before penetration, making it...
Dr. Li Xinyi Reply:
Testosterone level is 324 ng/dl (reference range 280-800). It is possible to consider testosterone supplementation. Changing lifestyle and exercising can further increase the levels, and since I was tested in the evening, it is noted that morning levels are typically the highest....[Read More] Overcoming Erectile Issues: Testosterone Levels and Lifestyle Changes
Understanding Morning Erections and Testicular Health in Young Men
Testicular issues I would like to ask if it's normal for boys my age to experience morning erections almost every morning, but I rarely have them (I'm quite sure I don't). Is there something wrong? Also, I have one testicle that is higher than the other; is this no...
Dr. Li Xinyi Reply:
No morning erections can raise concerns about low male hormones or testosterone levels. If you are worried, it is advisable to consult a urologist for an examination and hormone testing. Having one testicle higher and the other lower does not necessarily indicate a problem.[Read More] Understanding Morning Erections and Testicular Health in Young Men
Understanding Low Testosterone: Normal Levels and Supplementation Options
Low testosterone feedback? Hello, doctor. I am the person who consulted you last time regarding <a href="https://adoctor.tw/article/99319">#99319</a>. I went to the hospital and had other tests done; my FSH is 2.49 and PRL is 13.04. Are these results normal ...
Dr. Fu Shizhang Reply:
What are the data on LH? If it's for fertility, it is not recommended to directly supplement male hormones, as it may affect sperm quality.[Read More] Understanding Low Testosterone: Normal Levels and Supplementation Options
Understanding Bilateral Varicocele: Concerns and Surgical Outcomes
Bilateral varicocele patients I have bilateral varicocele (with fertility already achieved), but there is moderate reflux on the left side and no significant reflux on the right side. I am considering ligating the left side, but I am concerned that the collateral circulation from...
Dr. Xu Wencang Reply:
You can visit an outpatient physician for evaluation.[Read More] Understanding Bilateral Varicocele: Concerns and Surgical Outcomes
Improving Sperm Count: Surgery and Hormone Therapy for Varicocele in Men
Varicocele in men. How to improve low testosterone levels? Hello Doctor, I would like to ask, my husband and I have been married for a year and a half without getting pregnant. As a result, our relatives suggested that we get checked. We have both seen doctors for examinations; m...
Dr. Fu Shizhang Reply:
Varicocele must be treated surgically. For low male hormone levels, it is recommended to test for hormones related to the anterior pituitary gland and female hormones, rather than directly supplementing them. Online consultations cannot replace an in-person evaluation and physica...[Read More] Improving Sperm Count: Surgery and Hormone Therapy for Varicocele in Men
Can Low Testosterone Levels Be Reversed? A Urology Perspective
Is there a chance to restore low testosterone levels? Hello Doctor: I am 30 years old and recently started dating a girlfriend, but I suddenly feel a lack of libido and have noticed a significant decrease in morning erections. I visited a urologist and had blood tests done, which...
Dr. Liu Jiaju Reply:
Your question is suggested to refer to the following article: http://www.appledaily.com.tw/appledaily/article/headline/20090301/31431548/. It is recommended to start with exercise and improving lifestyle habits, and then recheck blood levels after three months. If low testosteron...[Read More] Can Low Testosterone Levels Be Reversed? A Urology Perspective
Impact of Fitness Supplements on Epilepsy Patients: What You Need to Know
Antiepileptic drug administration? I am currently a patient with epilepsy and have not had any seizures for the past five years since starting medication. I regularly exercise and am considering taking fitness supplements. I would like to know if taking these supplements will hav...
Dr. Lan Shengxing Reply:
Dear 123, I strongly oppose purchasing medications online for personal use. Additionally, I do not recommend the use of testosterone for muscle hypertrophy. Best regards, Blue Saint Star.[Read More] Impact of Fitness Supplements on Epilepsy Patients: What You Need to Know
Understanding Treatment Duration for Erectile Dysfunction Medications
Treatment efficacy During an erection, I experienced difficulty maintaining firmness, which prompted me to seek medical attention. I took half a 5mg dose of Cialis, and it quickly returned to normal. However, the doctor advised me not to stop the medication. I have been taking it...
Dr. Liu Jiaju Reply:
If your condition shows good morning erections when not taking medication, you may consider trying to engage in sexual activity without medication. Since young patients often experience psychogenic erectile dysfunction, it is recommended to adjust your lifestyle and incorporate r...[Read More] Understanding Treatment Duration for Erectile Dysfunction Medications
Understanding Prostate Enlargement and Its Impact on Erectile Dysfunction
Benign Prostatic Hyperplasia and Erectile Dysfunction Recently, I have been experiencing severe erectile dysfunction. I have undergone blood tests, ultrasound, and semen analysis. My testosterone levels are normal, the corpora cavernosa are normal, but my prostate is 26 grams, an...
Dr. Li Xinyi Reply:
1. A prostate weighing 26 grams is considered normal for this age and is not related to erectile dysfunction. Chronic prostatitis can affect sexual function. 2. Premature ejaculation is not closely related to erectile dysfunction. 3. It is normal for the penis to tilt to the ri...[Read More] Understanding Prostate Enlargement and Its Impact on Erectile Dysfunction