Understanding Low Sperm Motility: Causes and Implications
Sperm 2 Hello, I have undergone an examination of my testicles and there is no varicocele present. My lifestyle is normal and I do not have any bad habits, yet I have been diagnosed with low sperm motility. I would like to ask the doctor if there are other issues that could be af...
Dr. Xu Weikai Reply:
Hello, the saying "when one is well-fed and warm, one thinks of sexual desires" can be understood from a medical perspective as follows: only when the body is healthy will sexual and reproductive functions operate normally. After all, reproduction and sexuality are not ...[Read More] Understanding Low Sperm Motility: Causes and Implications
Understanding Low Sperm Motility: Impact on Fertility and Solutions
Sperm I recently had a semen analysis, and the report indicated that while the sperm count is normal, the motility is low. Will this affect fertility? What factors can influence sperm motility, and how can I improve it? Thank you.
Dr. Xu Weikai Reply:
Hello, there are several reasons for decreased sperm motility: 1. Varicocele 2. Poor physical condition: irregular lifestyle, lack of sleep, etc. 3. Endocrine or other issues 4. Substance use: smoking, alcohol, drug use, etc. To improve sperm motility, one can focus on enhancing ...[Read More] Understanding Low Sperm Motility: Impact on Fertility and Solutions
Understanding Varicocele Surgery: Timing, Techniques, and Top Specialists
Microsurgical Varicocelectomy Hello Dr. Liu, I am 50 years old. I underwent laparoscopic hernia repair (TEP) on June 3rd, but I still experience frequent pain in the groin area postoperatively. An ultrasound performed by my doctor diagnosed me with a varicocele. I have a few que...
Dr. Liu Jianting Reply:
1. Postoperative pain is common and should improve after about six months. If you have varicocele and are not experiencing significant discomfort, there may not be an urgent need for surgery; you might consider discussing this with your physician. 2. Please check online for large...[Read More] Understanding Varicocele Surgery: Timing, Techniques, and Top Specialists
Understanding Nocturia: Causes, Symptoms, and Management Strategies
Frequent urination Hello Doctor, three months ago I started experiencing the urge to urinate at night, which makes it difficult for me to fall asleep. I often lie in bed for over an hour, and during that time, I feel the need to go to the bathroom about every half hour, with a ur...
Dr. Xu Weikai Reply:
Tommy: Based on your description, it seems to be caused by mental stress. Initially, high stress may lead to involuntary frequent urination, and once the stress is relieved, it can become habitual frequent urination due to conditioning. You can train yourself over time, for examp...[Read More] Understanding Nocturia: Causes, Symptoms, and Management Strategies
Post-Varicocele Surgery: Understanding Testicular Changes and Pain Management
Postoperative care after varicocele surgery? Hello Dr. Hsu, I apologize for bothering you again. Before the varicocele surgery, my left testicle was noticeably lower, but it was also smaller. After the surgery, during scrotal contraction, the left testicle appears smaller, but wh...
Dr. Xu Weikai Reply:
Hello, I'm not sure if you have a habit of appreciating art, but if you look at some male sculptures or paintings of male nudes, you'll notice that the left testicle is usually lower. This is a common anatomical variation. After surgery, the phenomenon of the left testi...[Read More] Post-Varicocele Surgery: Understanding Testicular Changes and Pain Management
Understanding Testicular Descent: Causes and Concerns in Urology
Testicular descent Hello, doctor. Thank you for addressing my concerns. I have two more questions. One doctor mentioned that I have a mild hernia after an ultrasound examination, but two other doctors said I do not. How can this be explained? Additionally, my left testicle is abo...
Dr. Xu Weikai Reply:
Hello, you have a mild hernia, which is generally not easy to diagnose in an outpatient setting unless the physician happens to see the hernia. The size of the testicles can vary, and if there is drooping, it may be better to consult a urologist. Varicocele is relatively easy to ...[Read More] Understanding Testicular Descent: Causes and Concerns in Urology
Understanding Varicocele: Symptoms, Treatment, and Surgical Options
Spermatic cord varicocele Hello, Dr. Hsu... I am the one who previously asked you about the relationship between testicular pain and HIV, and I regret it... After your response, I went to the urology department at our local general hospital for a consultation... The doctor told m...
Dr. Xu Weikai Reply:
Regret: Hello, you can refer to our hospital's website: http://www.tait.doh.gov.tw/main_sec.php?index=hygiene_detail&id=45&no=&mid=51&pid=51&sid=04. If there are any unclear points, feel free to ask again, and we can further discuss and research together....[Read More] Understanding Varicocele: Symptoms, Treatment, and Surgical Options
Post-Varicocele Surgery: Understanding Testicular Sensitivity and Size Changes
Varicocele Hello doctor, I underwent surgery for left-sided varicocele in mid-March this year, but postoperatively, my left testicle has become very sensitive; even a light touch causes pain, and walking causes discomfort as well. Over a month later, the pain has lessened, but la...
Dr. Xu Weikai Reply:
DD: Hello, after the surgery, due to the ligation of the veins, it is indeed common to experience swelling and sensitivity initially. Testicular atrophy is likely caused by the varicocele, and it should gradually improve after the surgery. It should not be related to the surgery ...[Read More] Post-Varicocele Surgery: Understanding Testicular Sensitivity and Size Changes
Post-Surgery Pain: Is My Varicocele Recurring?
Experiencing pain again after undergoing varicocele surgery? Hello Doctor, I would like to ask you a question. Last October, I visited a clinic in Taipei due to scrotal pain, and it was diagnosed that both of my testicles had varicocele. Following the doctor's recommendation...
Dr. Lai Ronghao Reply:
Post-operative pain after varicocele surgery may be due to recurrence or neuropathic pain; it is advisable to have a urologist evaluate the condition.[Read More] Post-Surgery Pain: Is My Varicocele Recurring?
Blood in Semen: Understanding Post-Surgery Urological Concerns
Hematospermia Hello Doctor, I used to be a patient with urethral stricture and have nearly recovered after undergoing urethral reconstruction surgery. My only concern now is that due to the surgery, my penis often does not respond appropriately; it does not become erect when it s...
Dr. Lin Hexing Reply:
Hello, sir: Thank you for your inquiry. In response to your question, based on the symptoms you described, the testicular pain along with the presence of a hard mass and hematospermia is more indicative of a condition related to the epididymis combined with hematospermia. It is a...[Read More] Blood in Semen: Understanding Post-Surgery Urological Concerns
Understanding Surgery Costs for Varicocele Treatment in Urology
Surgical fees I experience a feeling of swelling and pain on the left side of my scrotum every day. Today, I went to the hospital for an examination, and the doctor said it is not very serious. Does a condition have to be severe in order to require surgery? May I ask how much the...
Dr. Yan Dawei Reply:
Surgery carries certain risks and side effects. A physician will only recommend surgery if the necessity of the procedure outweighs its risks and side effects.[Read More] Understanding Surgery Costs for Varicocele Treatment in Urology
Understanding Varicocele: Symptoms, Diagnosis, and Treatment Options
Varicocele Doctor, at the end of last year, I had an ultrasound at Shutian Clinic, which confirmed that I have a varicocele. If I go back for another ultrasound now, will it be able to determine if there is any change in the size of my testicles? Recently, I have been experiencin...
Dr. Yan Dawei Reply:
Varicocele can be monitored with testicular ultrasound. If possible, please follow up at the urology outpatient clinic. Regarding the cost, public hospitals generally have lower prices.[Read More] Understanding Varicocele: Symptoms, Diagnosis, and Treatment Options
Post-Varicocele Surgery: Common Concerns and Recovery Insights
Varicocele surgery Dear Dr. Hsu, Last month, I underwent varicocele surgery (left side) using microsurgery. The incision is located about two centimeters above the base of the penis on the left side. It has been about a month and a half since the surgery, and the wound has scabb...
Dr. Xu Weikai Reply:
1. The sensation of dull pain near the base of the penis (not at the wound site) is likely a result of fibrosis after surgery, which is a normal tissue response. Local heat application may help alleviate this discomfort. 2. There are white threads at the surgical site. Last wee...[Read More] Post-Varicocele Surgery: Common Concerns and Recovery Insights
Understanding Varicocele: Symptoms, Diagnosis, and Treatment Options
Is this condition varicocele? Hello Doctor: I have a few questions I would like to ask: 1. I experienced severe pain in my left testicle during vomiting; could this be a sign of varicocele? 2. In cases of varicocele, will there be visibly prominent purple veins on the surface? 3....
Dr. Xu Weikai Reply:
Sam: Hello, varicocele refers to the dilation of the veins in the spermatic cord. This condition can be visualized as if there are worms inside a bag, although the veins are not visible on the scrotum. Varicocele is relatively easy to diagnose, and guessing can only increase your...[Read More] Understanding Varicocele: Symptoms, Diagnosis, and Treatment Options
Understanding Varicocele: Is a CT Scan with Non-Ionic Contrast Safe?
Varicocele Thank you for your response to my previous question. Today, during my follow-up appointment, the doctor said I need to undergo a CT scan. Do you think that's okay? Should a non-ionic contrast agent be used?
Dr. Xu Weikai Reply:
Hello, CT!! Many people believe that more expensive tests provide clearer results. However, CT scans are not necessarily more diagnostic than abdominal ultrasounds. The effectiveness of ultrasounds is highly dependent on the operator's experience, which means that some condi...[Read More] Understanding Varicocele: Is a CT Scan with Non-Ionic Contrast Safe?
Post-Varicocele Surgery Care: Recovery Tips and Sexual Activity Guidelines
Varicocele surgery Hello Dr. Hsu: 1. What should I pay attention to after undergoing microscopic surgery for varicocele? 2. How long after the surgery can I engage in sexual activity? Thank you!
Dr. Xu Weikai Reply:
N: Hello, regarding wound care, please avoid strenuous activities for about six months. As for sexual activity, if there is no pain, it can be resumed on the same day. There are no specific taboos in this regard. If there are any unclear points, feel free to ask again, and we can...[Read More] Post-Varicocele Surgery Care: Recovery Tips and Sexual Activity Guidelines
Post-Varicocele Surgery: How Long Should You Avoid Intense Exercise?
Regarding "varicocele." Hello doctor, I had varicocele surgery last week and forgot to ask some questions during my suture removal. I read online that after the surgery, I should avoid intense exercise for 1 to 2 months. Is that correct? I am involved in track and field...
Dr. Xu Weikai Reply:
JOHN: Hello, for general wounds, it takes about 6 weeks for the strength to reach approximately 80% of its original strength. Although the incision from a varicocele surgery is only about 2 centimeters, theoretically, it shouldn't tear from exertion. However, one should stil...[Read More] Post-Varicocele Surgery: How Long Should You Avoid Intense Exercise?
Understanding Varicocele: Key Considerations After Ultrasound Results
Spermatic cord If it is confirmed that there is a varicocele on the right side and an abdominal ultrasound (liver, gallbladder, and spleen) shows no issues, what else should be noted regarding the gastrointestinal tract?
Dr. Xu Weikai Reply:
Hello, regarding the varicocele on the right side, it is generally necessary to perform an abdominal ultrasound to determine if there are any masses present. If no abnormalities are found, it should be considered normal. However, if the degree of varicocele worsens in the future,...[Read More] Understanding Varicocele: Key Considerations After Ultrasound Results
Understanding Varicocele: Causes, Symptoms, and Treatment Options
Varicocele Varicocele is a condition characterized by the dilation of veins within the scrotum, which can cause a swollen appearance and, in severe cases, pain and infertility. It typically occurs on the left side. If it occurs on the right side, there is a strong suspicion of an...
Dr. Xu Weikai Reply:
Hello, ultrasound can confirm the presence of varicocele. If there are no issues and no symptoms, there is no need for further monitoring of this condition. If you have any further questions or need more details, feel free to ask, and we can discuss and research together. Sincere...[Read More] Understanding Varicocele: Causes, Symptoms, and Treatment Options
Understanding Erectile Dysfunction: Causes and Concerns for Young Men
Does this indicate a problem with sexual function? Hello, Dr. Hsu: I am 28 years old, and I have noticed that my sexual function has not been normal for the past six months. 1. I have found that after achieving an erection, if there is no stimulation, it quickly (within 20 second...
Dr. Xu Weikai Reply:
Hello, it sounds like you need to undergo further diagnostic evaluations, such as penile pressure measurements, an erection test, and blood tests for hormone levels. You may need to visit a medical center to access a full range of equipment. Severe varicocele can affect testicula...[Read More] Understanding Erectile Dysfunction: Causes and Concerns for Young Men