Understanding Varicocele: Impact on Testosterone and Sexual Function
Varicocele Doctor, I have had a varicocele since middle school and have never sought treatment. Recently, over the past month, my libido has rapidly decreased, affecting my sex life. When I am intimate with my girlfriend, I often feel weak and have difficulty maintaining an erect...
Dr. Li Xinyi Reply:
Varicocele is actually quite common, but the severity can vary. Generally speaking, it does not significantly affect testosterone secretion. The issue with axillary hair may be related to sexual development, and coupled with decreased libido, it would be advisable to check hormon...[Read More] Understanding Varicocele: Impact on Testosterone and Sexual Function
Understanding Long-Acting Testosterone Injections: Benefits and Concerns
Long-acting testosterone preparations Hello Dr. Hsu: It can be confirmed that I have a severe deficiency in testosterone, as evidenced by various symptoms such as insomnia, widespread muscle pain, and most seriously, erectile dysfunction with inability to achieve an erection. The...
Dr. Xu Weikai Reply:
T-therapy: Long-acting male hormone preparations are said to last for 1-3 months. There are many supplement forms available, including oral, injectable, and topical applications. However, these medications can have side effects, and some may even increase the risk of cancer. Ther...[Read More] Understanding Long-Acting Testosterone Injections: Benefits and Concerns
Overcoming Erectile Dysfunction: Exploring Testosterone Supplementation Solutions
Rescue from Dysfunction: Issues Related to Testosterone Supplementation? Hello, Dr. Hsu! I have mild hypertension and am currently on medication. My heart feels somewhat uncomfortable at times, but overall, I am doing okay. However, I often suffer from lower back pain, which affe...
Dr. Xu Wencang Reply:
Hello: In response to your inquiry, I recommend that you first visit a urology clinic for an examination by a physician. It is important to rule out any underlying internal medicine conditions or hormonal deficiencies before proceeding with targeted treatment.[Read More] Overcoming Erectile Dysfunction: Exploring Testosterone Supplementation Solutions
Understanding Erectile Dysfunction: Key Diagnostic Tests Explained
Standards for Erectile Dysfunction Testing Hello, Doctor: Erectile dysfunction can be categorized into psychological and physiological factors. Psychological factors can be assessed through discussions between the patient and the doctor. I would like to inquire about physiologica...
Dr. Xu Weikai Reply:
Hello, a local injection into the penis followed by observation of the erection angle is a basic erectile function test. It is relatively simple, can be performed in an outpatient setting, and provides immediate results. For a more detailed examination, the following tests can be...[Read More] Understanding Erectile Dysfunction: Key Diagnostic Tests Explained
Understanding High Prolactin and Low Testosterone in Men: Key Concerns
Regarding the issue of elevated prolactin levels and low testosterone in males? I have previously suspected that I have hormonal issues. Today, I underwent four hormone tests and found that my prolactin level is elevated at 27.3, and my testosterone level is low at 3.1. The other...
Dr. Xu Weikai Reply:
You Tiao: Hello. 1. Elevated prolactin levels can lead to breast development. Sometimes this is associated with tumors, and further examination is necessary. 2. If testosterone levels are low, testosterone replacement therapy may be considered, but there is a risk of cancer. Addi...[Read More] Understanding High Prolactin and Low Testosterone in Men: Key Concerns
Understanding Testosterone Supplementation and Prostate Enlargement Issues
Information on testosterone supplementation in men and issues related to benign prostatic hyperplasia (BPH)? Dear Dr. Hsu, Many years ago, I was diagnosed with benign prostatic hyperplasia (BPH) by a doctor. I took medication for a period of time, but the effects were not signif...
Dr. Xu Weikai Reply:
Hello, DHEA is currently classified as a dietary supplement, and the National Health Insurance only covers medications. Unlike drugs, supplements generally have fewer side effects. However, this also means that their effects may be slower to manifest. Additionally, consuming exce...[Read More] Understanding Testosterone Supplementation and Prostate Enlargement Issues
Understanding Hormone Therapy and Its Impact on Gender Identity in Urology
Hormone therapy In elementary school, I had issues with my genitalia, specifically penile retraction (I had already undergone circumcision at that time). Later, my family took me to Kaohsiung Medical University Hospital, where the doctor began a treatment regimen that lasted seve...
Dr. Xu Weikai Reply:
Willian: Hello, theoretically, you should consider injecting HMG or HCG, which can stimulate testicular development. You can also check the levels of male and female hormones to see if they are normal. Additionally, if there is suspicion of a genetic issue, chromosome testing can...[Read More] Understanding Hormone Therapy and Its Impact on Gender Identity in Urology
Understanding Testosterone Deficiency and Its Impact on Male Sexual Health
Hypogonadism and Testosterone Hello Dr. Hsu, I often see you answering various questions for patients online. I greatly admire your enthusiasm and professionalism. Currently, I am troubled by issues related to male sexual function. Although I have seen several doctors, there has...
Dr. Xu Weikai Reply:
Hello, according to regulations, we are not allowed to respond to private emails. All responses will be public. Please consider this carefully before deciding. 1. If you feel indifferent, please ask again. 2. If you do not wish to make it public, then do not ask here. If there ar...[Read More] Understanding Testosterone Deficiency and Its Impact on Male Sexual Health
Effective Surgical Options for Penile Enlargement in Taoyuan
Hello, doctor? Hello, doctor. If the penis is too short, are there any surgical options to increase its size? Also, could you recommend a good hospital in Taoyuan for this procedure?
Dr. Xu Weikai Reply:
It's really concerning: Is your penis too short? It depends on the situation. Sometimes, it appears smaller due to fat accumulation; in this case, removing the fat at the base of the penis can help. If the penis is genuinely small, it’s important to check if it’s due to insu...[Read More] Effective Surgical Options for Penile Enlargement in Taoyuan
Methods to Restore Testicular Size and Health: A Comprehensive Guide
Testicular recovery Are there currently any methods to restore healthy size to atrophied testicles or to increase testicle size? I'm open to medications, dietary supplements, injections, or any other options (are there surgical procedures for enlargement?). Where can I get b...
Dr. Xu Weikai Reply:
Mr. Fang: The size of the testicles is not very important; what matters is their function. You can visit a nearby laboratory or hospital to have blood tests done to check the levels of LH, FSH, testosterone, and other relevant hormones. If you have any further questions, feel fre...[Read More] Methods to Restore Testicular Size and Health: A Comprehensive Guide
Understanding the Connection Between Prostate Issues and Sexual Dysfunction
Prostate issues, painful urination, herpes, autonomic nervous system disorders, and sexual dysfunction: what is the correlation among these conditions? Hello, doctor. My husband occasionally feels tightness when urinating, and sometimes he experiences pain. A doctor at Hospital A...
Dr. Zhou Xinpei Reply:
Hello: Due to the complexity of your inquiry, we hope that your husband can come to the clinic for a more detailed examination to clarify the issue. Thank you![Read More] Understanding the Connection Between Prostate Issues and Sexual Dysfunction
Understanding Penis Size: Hormones and Growth Factors Explained
Penis Size PART-3 Hello, Dr. Hsu: I previously asked questions here on July 26 and 27 of this year. I have undergone hormone testing at a medical center, and the doctor said that my testosterone levels are within the normal range. 1. Does this mean that the cause of my penile s...
Dr. Xu Weikai Reply:
Dear Sir: 1. Currently, male hormone levels have not decreased. 2. Supplementation is not effective and may even increase the risk of cancer. 3. Perhaps that is the case. If there are any unclear points, feel free to ask again, and we can discuss and research further. Respons...[Read More] Understanding Penis Size: Hormones and Growth Factors Explained
Understanding Penis Size: Concerns About Phimosis and Hormonal Impact
Penis size Hello, Dr. Hsu: This is a rather amusing yet somewhat lengthy question that dates back to my childhood. I had severe phimosis since I was young, which prevented the glans from being exposed. I’m not sure if this phimosis contributed to my smaller genital size. It wasn&...
Dr. Xu Weikai Reply:
Dear Child, 1. The size of the penis is related to factors such as constitution and genetics, as well as diet. For example, frequent exposure to phthalates (found in plastic bowls, perfumes, beverages, and fragrances) may affect males. 2. It is advisable to first check the leve...[Read More] Understanding Penis Size: Concerns About Phimosis and Hormonal Impact
Understanding Hair Loss: Finasteride Effects and Male Hormone Levels
Hair loss issues I'm sorry, doctor. I would like to ask you about my experience in college when I was very anxious and felt a lot of pressure, which led to hair loss at the front of my scalp. Later, I started taking finasteride 5/4 mg daily, and it seems that my hair loss ha...
Dr. Lin Hexing Reply:
Hello: The medication you are taking is indeed an effective treatment for male pattern baldness, as it is an inhibitor of the conversion of testosterone to its more potent form, dihydrotestosterone (DHT). Breast swelling, erectile dysfunction, and decreased libido may be side eff...[Read More] Understanding Hair Loss: Finasteride Effects and Male Hormone Levels
Understanding Ejaculation Issues: Causes and Solutions for Men
Ejaculation issues?! Hello, doctor: I would like to ask you a few questions! My daily life is quite regular, and my girlfriend and I only meet for a few days each month, about three days (Friday, Saturday, and Sunday). During those days, we have a higher frequency of sexual activ...
Dr. Liu Jiaju Reply:
Due to excessive sexual activity in a short period of time, men may experience an extended refractory period for erection and ejaculation. This can lead to issues such as poor rigidity or delayed ejaculation. If these symptoms persist even after a longer interval between sexual a...[Read More] Understanding Ejaculation Issues: Causes and Solutions for Men
Effective Methods for Testosterone Supplementation: A Urology Perspective
Testosterone supplementation Dr. Hsu: Hello, I am very aware that I currently have a deficiency in testosterone levels. Therefore, the situation of insufficient blood flow should be severe. Now the question is, can you provide me with methods to supplement testosterone? Generally...
Dr. Xu Weikai Reply:
Hello, regarding testosterone replacement therapy for men, aside from a few medications approved by the FDA, most have concerns about potential carcinogenic effects, and therefore, their regular use is not recommended. As a result, many hospitals, including ours, do not provide t...[Read More] Effective Methods for Testosterone Supplementation: A Urology Perspective
Effective Ways to Supplement Testosterone for Sexual Health
How to supplement testosterone? Hello Dr. Hsu, As far as I know, the decline in individual sexual function is due to insufficient testosterone, which leads to an inability to achieve an erection. I would like to ask how to supplement testosterone. I have already undergone multip...
Dr. Xu Weikai Reply:
Hello, regarding male hormone supplements, it is not recommended to use them except for a few products that are endorsed by the FDA. This is because most of these supplements carry a risk of carcinogenicity. Additionally, unless there is a genuine deficiency causing erectile dysf...[Read More] Effective Ways to Supplement Testosterone for Sexual Health
Understanding Morning Erections: Causes of Changes in Hardness at 26
Morning erection Hello, doctor. In the past, I would wake up in the morning with an erection that was very firm, like a cucumber. However, over the past month or two, the hardness of my morning erections has noticeably decreased and feels somewhat weak. Sometimes, I even experien...
Dr. Xu Weikai Reply:
If you have any concerns, you should promptly consult a physician for a penile ultrasound and a penile erection test.[Read More] Understanding Morning Erections: Causes of Changes in Hardness at 26
Morning Erections: Understanding Changes in Hardness and Possible Causes
Morning erection Hello, doctor. In the past, I would wake up in the morning with a firm erection, but over the past month or two, the hardness of my morning erections has significantly decreased. I sometimes don't even have an erection at all, which is a big difference from ...
Dr. Xu Wencang Reply:
Hello, in response to your question: There is no significant correlation between the hardness of morning erections and diet. However, it is recommended that you consult a physician for hormone testing.[Read More] Morning Erections: Understanding Changes in Hardness and Possible Causes
Understanding Testicular Retraction During Erection: Causes and Concerns
Genital arousal? Hello doctor, after I get an erection, my testicles seem to retract and disappear... Recently, I've also noticed that my scrotum appears smaller than it used to be!
Dr. Xu Wencang Reply:
Hello, in response to your question: you can come to the hospital for a testosterone and scrotal ultrasound examination. It is a normal phenomenon for the cremaster muscle to retract the testicles during stimulation.[Read More] Understanding Testicular Retraction During Erection: Causes and Concerns