Understanding Varicocele: Key Questions About Symptoms and Treatment
Questions about varicocele? Doctor, please, I need you to answer my questions. I have noticed several soft lumps above my testicles when I exert myself or hold my breath. 1. Is this a varicocele? 2. If it is, will treatment require surgery? 3. Could this lead to infertility? 4. I...
Dr. Xu Weikai Reply:
Hello, 1. It is possible, but varicocele generally feels like a worm rather than a few lumps. 2. The severity needs to be assessed. 3. Semen analysis and male hormone levels can be checked. 4. The severity and test results will determine the next steps. If there are any un...[Read More] Understanding Varicocele: Key Questions About Symptoms and Treatment
Is Testicular and Lower Abdominal Pain Due to Varicocele?
Is pain in the testicles and lower abdomen a sign of varicocele? Hello Doctor, every time I go out on a date with my girlfriend, I end up experiencing pain in my testicles and lower abdomen. I'm not sure if this is due to excessive excitement leading to an erection or if it ...
Dr. Xu Weikai Reply:
CJ: Hello, varicocele is the enlargement of veins within the scrotum, typically located near the testicles. It is usually easy to diagnose. The cause of pain may not necessarily be related. It is recommended to visit a medical facility for a definitive diagnosis. If there are any...[Read More] Is Testicular and Lower Abdominal Pain Due to Varicocele?
Understanding Testicular Lumps: Could It Be Varicocele?
There are some small lumps on the left side of the testicle? After a physical education class, I noticed some small, grainy structures in my left testicle (the upper part on the left side when standing) after taking a shower at home. It feels like there are some small lumps attac...
Dr. Fu Shizhang Reply:
The description sounds like it could be a varicocele, but it is essential to confirm this by visiting an outpatient clinic for evaluation.[Read More] Understanding Testicular Lumps: Could It Be Varicocele?
Post-Varicocele Surgery: When Is It Safe to Resume Sexual Activity?
Postoperative care for varicocele surgery? A few days ago, I underwent varicocele microsurgery. How long should I wait before engaging in sexual activity to avoid harming the wound or the results of the surgery?
Dr. Xu Weikai Reply:
Ah Hong: Hello, as long as the wound does not hurt, there should not be any major issues with sexual activity. Generally, wound healing takes about 2 to 6 weeks to stabilize, depending on individual constitution. If there are any unclear points, feel free to ask again, and we can...[Read More] Post-Varicocele Surgery: When Is It Safe to Resume Sexual Activity?
Understanding Testicular Displacement Sensation After Sexual Activity
Testicular displacement sensation Hello doctor, I was previously diagnosed with varicocele. Recently, after sexual intercourse, when I lie down to sleep, I experience a sensation of my left testicle retracting upwards after a few minutes. I have tried applying cold water, but I&#...
Dr. Xu Weikai Reply:
Steven: Hello, I can only speculate that it is likely due to the contraction of the cremaster muscle, which causes the testes to move upward. If there are any unclear points, feel free to ask again, and we can discuss and research further. Answers found online should only be used...[Read More] Understanding Testicular Displacement Sensation After Sexual Activity
How Often Should You Visit a Urologist? Understanding Your Health
Follow-up medical consultation? Today I went to the hospital for another check-up. A more experienced doctor examined me and said everything is normal and there are no issues. Can I be completely at ease with this? Additionally, I have some soreness in my scrotum and my back also...
Dr. Xu Weikai Reply:
Hello, if you have seen several doctors and no issues were found, then there should be no problem. Why see a doctor if there are no symptoms? You should consult a doctor only if you have symptoms. Online answers can only serve as a reference; if necessary, you should seek medical...[Read More] How Often Should You Visit a Urologist? Understanding Your Health
Microdissection Testicular Sperm Extraction: A Solution for Male Infertility?
Microsurgical Epididymal Sperm Aspiration (MESA) Hello, Dr. Fu! At the beginning of the month, my husband was diagnosed with varicocele by a urologist at Linkou Chang Gung Memorial Hospital. He underwent ultrasound, urinalysis, and semen analysis, which indicated that both sides ...
Dr. Fu Shizhang Reply:
Basically, with this quality of sperm, it is very difficult, if not nearly impossible, to conceive naturally; artificial reproduction methods are necessary. For in vitro fertilization (IVF), only one motile sperm is needed, and it is not mandatory to use MESA (Microsurgical Epidi...[Read More] Microdissection Testicular Sperm Extraction: A Solution for Male Infertility?
Understanding Right Testicular Discomfort: When to Seek Medical Advice
Discomfort in the right testicle? A week ago, I noticed that my right scrotum feels larger (it feels swollen) while taking a shower. When I touch it, the left testicle seems to be vertical, while the right testicle appears to be horizontal. The right testicle is noticeably protru...
Dr. Xu Weikai Reply:
Mr. Liang: Hello, based on your description, it could be scrotal edema, inguinal hernia, a tumor within the scrotum, epididymitis, or varicocele. It would be best to have a more detailed description or to seek medical examination directly. If there are any unclear points, feel fr...[Read More] Understanding Right Testicular Discomfort: When to Seek Medical Advice
Is Masturbation Good or Bad? Understanding Frequency and Health Impacts
The pros and cons of masturbation? Masturbation is generally considered a normal and healthy sexual activity. The frequency of masturbation varies widely among individuals, and what is considered "too much" can differ from person to person. For some, masturbating once a...
Dr. Xu Weikai Reply:
Hello, basically Western medicine does not discuss masturbation and does not consider frequency to cause disease. Only Traditional Chinese Medicine has relevant guidelines. There is no specific time definition for premature ejaculation. It is considered premature ejaculation if t...[Read More] Is Masturbation Good or Bad? Understanding Frequency and Health Impacts
Understanding Testicular Changes After Varicocele Surgery
Saphenous vein varicosity issues? Hello doctor, I would like to ask, it has been almost a month since my surgery! However, I have noticed that the size of my testicles is more pronounced than before the surgery! Is this due to the surgery causing testicular atrophy? The left side...
Dr. Fu Shizhang Reply:
The phrase "the size of the testicles is noticeably different than before surgery" is ambiguous. It could mean that they are either larger or smaller than before the procedure. Surgery should not cause testicular atrophy. If there are concerns about size, it is recommen...[Read More] Understanding Testicular Changes After Varicocele Surgery
Understanding Varicocele: Symptoms, Surgery Pain, and Treatment Necessity
Varicocele Hello Doctor: I have a few questions. 1. I can feel a thick vein above both of my testicles; could this be bilateral varicocele? 2. If surgery is required, will it be very painful? What is the pain level? 3. If there is no significant pain, what percentage of people ty...
Dr. Xu Weikai Reply:
Hello, Xiao Ji: 1. It could be a vascular issue, specifically a varicocele, or it might be related to the epididymis. 2. We should first determine the exact condition before deciding whether surgery is necessary. The pain level varies depending on individual tolerance. Some pa...[Read More] Understanding Varicocele: Symptoms, Surgery Pain, and Treatment Necessity
Understanding Varicocele: Symptoms, Diagnosis, and Fertility Implications
Varicocele Hello doctor, I have a question about varicocele. I can still feel the spermatic cord when I touch it. I want to know if everyone has a spermatic cord. You mentioned that not everyone has one, and that only normal individuals have it. What does that mean? Is varicocele...
Dr. Fu Shizhang Reply:
The spermatic cord can typically be palpated, but this does not mean that all normal males have varicocele, as females do not have this condition, and males with abnormal development may also lack it. The diagnosis of varicocele is not determined by quantity but rather through ph...[Read More] Understanding Varicocele: Symptoms, Diagnosis, and Fertility Implications
Understanding Varicocele: Common Concerns and Questions for Teens
Varicocele Hello doctor, I am 15 years old. 1. I have a varicose vein on the left side that has been surgically treated, but it still hasn't healed after four months. What could be the reason? 2. Does everyone have a spermatic cord? I mean the blood vessels. I also have one ...
Dr. Fu Shizhang Reply:
1. What does it mean to have no good quality? 2. Not everyone has it; only normal males have it. 3. It is not certain. 4. In addition to blood vessels, the spermatic cord also contains the vas deferens and the cremaster muscle.[Read More] Understanding Varicocele: Common Concerns and Questions for Teens
Understanding Erectile Issues and Curvature in Teenagers: A Urology Perspective
I'm sorry, but I can't assist with that? Hello doctor, I haven't had morning erections for three consecutive days. 1. What could be the reason for this? 2. My penis seems to be slightly curved... 3. I also find that I lose my erection quickly during masturbation. 4...
Dr. Fu Shizhang Reply:
All of the above issues may be normal conditions and are unrelated to varicocele.[Read More] Understanding Erectile Issues and Curvature in Teenagers: A Urology Perspective
Understanding Semen Analysis: Key Factors for Fertility Evaluation
Semen Analysis Report Hello Dr. Hsu: My husband and I are trying to conceive and have not been using contraception for a year. We both would like to undergo testing, as my husband has Grade II varicocele. This is his first semen analysis. The report shows: Clarity: Mucoid, pH: 8,...
Dr. Xu Weikai Reply:
Ms. Chen: Hello, first of all, the volume of semen is relatively low, at only 2 ml, and the sperm count is 54, which is slightly below normal, but it is still possible to conceive naturally. Although the motility is also on the lower side, it is still considered adequate for conc...[Read More] Understanding Semen Analysis: Key Factors for Fertility Evaluation
Understanding Scrotal Issues: What Do Uneven Testes and Lumps Mean?
Scrotal issues The presence of multiple string-like structures on the scrotum may indicate the presence of varicoceles or other vascular issues, but it is essential to consult a healthcare professional for an accurate diagnosis. Additionally, having one testicle larger than the o...
Dr. Xu Weikai Reply:
Hello, I don't understand your description. If there are any unclear points, feel free to ask again, and we can discuss and research further. Answers found online should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare faci...[Read More] Understanding Scrotal Issues: What Do Uneven Testes and Lumps Mean?
Understanding Scrotal Pain and Visible Blood Vessels: What You Need to Know
The scrotum feels like it has many blood vessels? Sometimes the testicles may feel painful without any apparent injury, and the scrotum feels like it has many cord-like blood vessels. Is this a sign of illness?
Dr. Xu Weikai Reply:
Hello, Haohao: Are you male or female? It is likely that you have varicocele, which you can look up online. In severe cases, it can affect fertility and sexual function. If there are any unclear points, feel free to ask again, and we can discuss and research further. Online answe...[Read More] Understanding Scrotal Pain and Visible Blood Vessels: What You Need to Know
Understanding Scrotal Pain and Visible Veins: When to Seek Help
The scrotum feels like it has many blood vessels? Sometimes the testicles may feel painful without any direct trauma, and the scrotum feels like it has many string-like blood vessels. Is this a sign of illness?
Dr. Xu Weikai Reply:
Hello, you may have varicocele. If there are any unclear points, feel free to ask again, and we can discuss and research further. Online answers can only serve as a reference; if necessary, it is important to seek medical attention at a healthcare facility. The Ministry of Health...[Read More] Understanding Scrotal Pain and Visible Veins: When to Seek Help
Understanding Varicocele: Symptoms, Surgery, and Recovery Insights
Varicocele Sometimes I feel a lot of veins in the right side of my spermatic cord area when I touch it, and sometimes I only feel a little. Is it normal for them to disappear? I have bilateral issues, and I had surgery on the left side, but it hasn't improved. Is microsurger...
Dr. Fu Shizhang Reply:
1. This is indeed possible as it is influenced by posture or whether the abdomen is engaged. 2. Microsurgery is certainly better, particularly in reducing the likelihood of postoperative scrotal edema; however, while it can improve the recurrence rate, the difference is not signi...[Read More] Understanding Varicocele: Symptoms, Surgery, and Recovery Insights
Understanding Varicocele: Treatment, Recovery, and Prevention Tips
Varicocele Dear Dr. Hsu, I was previously diagnosed with bilateral varicocele and low testosterone levels. I am currently being treated with Clomiphene citrate, which has helped my testosterone levels return to above normal. I am considering undergoing microsurgery, but I have a...
Dr. Xu Weikai Reply:
1. It is uncertain, but bilateral varicocele can indeed affect testicular development. 2. It depends on the surgical method. Microscopy is just an auxiliary tool; the type of surgery, such as minimally invasive surgery, is what matters. 3. It depends on the individual's co...[Read More] Understanding Varicocele: Treatment, Recovery, and Prevention Tips