Understanding Testicular Size and Concerns: What You Need to Know
I'm sorry, but I need more People say that the normal size of a testicle is about how many centimeters long... Is a length of 5 centimeters definitely a sign of illness... Could it be a tumor... Also, is the vas deferens connected above or below the testicle... I feel like m...
Dr. Liu Jianting Reply:
You're overthinking it! It's normal![Read More] Understanding Testicular Size and Concerns: What You Need to Know
Exploring Non-Obstructive Vasectomy Options for Men
Male sterilization inquiry? I would like to inquire about the non-blocking intra-vas deferens contraceptive device that I found online, which involves placing a sieve-like device inside the vas deferens. Is this type of procedure available domestically, or are there similar proce...
Dr. Xu Weikai Reply:
William: Hello, medical advancements are happening every day with new inventions, and with the spread of information online, there is a lot of knowledge that we may not be aware of. I apologize for not being familiar with this type of device, but I personally believe it is not a ...[Read More] Exploring Non-Obstructive Vasectomy Options for Men
Understanding Varicocele: Symptoms and Concerns for Testicular Health
excuse me? I sometimes feel a small, round lump above my left testicle. Usually, there is a sensation of warmth and mild discomfort in the left testicle. These symptoms come and go. I previously had an ultrasound, which showed no abnormalities in the scrotum. Could this be varico...
Dr. Xu Weikai Reply:
Hello, based on your description, the likelihood of a varicocele is low. If there is only one small, round, smooth surface, it is more likely to be a spermatocele, which is a small cyst that forms near the vas deferens and contains semen. In other words, it is a cyst formed by th...[Read More] Understanding Varicocele: Symptoms and Concerns for Testicular Health
Understanding Testicular Size and Position: Common Concerns Explained
Testes? Is a testicle length of 5 centimeters abnormal? I noticed that my right vas deferens is quite long and has a curve; is there an issue with that? Also, is it true that in general, one testicle tends to hang lower than the other? Is it abnormal if the right one hangs lower?...
Dr. Xu Weikai Reply:
Hello, your testicles are 5 cm in size, and it would be best to consult a urologist regarding the curvature of the vas deferens. It is not completely straight and can naturally have some curvature. Could it be a varicocele? Generally, in males, the left testicle tends to hang low...[Read More] Understanding Testicular Size and Position: Common Concerns Explained
Understanding Left Testicular Pain: Causes, Costs, and Treatment Options
There is a slight pain in the left testicle? Hello, doctor. I would like to ask you about something that has been bothering me for about 2-3 years. Whenever I sit for a long time, I feel a slight pain on the left side of my testicle, and there is also a bit of a swelling sensatio...
Dr. Xu Weikai Reply:
Hello, varicocele typically occurs on the left side and is usually caused by increased abdominal pressure leading to venous dilation, such as from prolonged standing or constipation. Regarding your mention of experiencing numbness after sitting for a long time, it may be due to l...[Read More] Understanding Left Testicular Pain: Causes, Costs, and Treatment Options
Understanding PSA Test Results: Prostate Health Insights and Concerns
PSA test (Prostate-Specific Antigen test) Hello, Director Hsu. Thank you for answering so many people's questions. I went for a PSA prostate cancer test, and my result was less than 4, specifically 0.89. I have a few questions: 1. Does this also indicate that I do not have...
Dr. Xu Weikai Reply:
Health is the most important: The PSA level has been checked again, which is generally used for prostate cancer screening. Your value is below 1, so there should not be any issues. The semen culture is normal, which is great, indicating that there is likely no infection. Semen tr...[Read More] Understanding PSA Test Results: Prostate Health Insights and Concerns
Understanding Testicular Pain: Causes and When to Seek Help
Is there pain during menstruation? Hello, I would like to ask a question. Recently, my husband has been experiencing sharp pain below his right testicle, which feels like it might be the vas deferens or a blood vessel (he can feel something that seems like a cord). The pain occur...
Dr. Lai Ronghao Reply:
Hello: Possible causes include 1. neuropathic pain 2. varicocele 3. prostatitis 4. epididymitis 5. other skin infections, etc. It is recommended that your husband visit a hospital for examination. Sincerely, Dr. Lai Rong-Hao, Director of Urology, Hsinchu Hospital, Department of H...[Read More] Understanding Testicular Pain: Causes and When to Seek Help
Understanding Post-Vasectomy Pain and Discomfort: Common Concerns
Sterilization Issues Hello Doctor: I live in the eastern part of Taiwan and underwent a vasectomy last week. When the doctor grasped the left vas deferens, I felt significant swelling in the groin area, and it was quite painful during the excision. The doctor mentioned that I hav...
Dr. Zhang Chengye Reply:
Jason: Hello, 1. It is true that there can be pain when the vas deferens is grasped during surgery, so in addition to injecting anesthetic under the skin and deeper in the scrotum during a vasectomy, additional anesthetic can be injected in the bilateral groin area to reduce pain...[Read More] Understanding Post-Vasectomy Pain and Discomfort: Common Concerns
Understanding Male Vasectomy: Procedure, Costs, and Myths
Male sterilization Hello, doctor: My husband and I have two children, and we are now looking for a permanent contraception method. I have heard that male sterilization is more convenient than female sterilization. Could you please explain the surgical process? Does it require hos...
Dr. Zhang Chengye Reply:
Mrs. Chen: Hello! Male sterilization involves making a small incision of about 0.5 cm on both sides of the scrotum to cut and tie off the vas deferens. The risk of complications is less than 1%, and the out-of-pocket cost is approximately NT$5,000 to NT$7,000. It will not affect ...[Read More] Understanding Male Vasectomy: Procedure, Costs, and Myths
Post-Masturbation Abdominal Pain: Is It Normal or a Cause for Concern?
After masturbation, there may be abdominal pain, and there can also be unilateral pain in the testicle? I have experienced this before, but not as painful as this time. After masturbation, my stomach hurts and the pain lasts until the next day. It hurts less when sitting, but lyi...
Dr. Cai Bingkun Reply:
Hello, ejaculation typically requires the coordinated action of the autonomic and somatic nervous systems. This coordination causes the smooth muscles of the epididymis, vas deferens, seminal vesicles, and prostate to contract while simultaneously closing the bladder neck, allowi...[Read More] Post-Masturbation Abdominal Pain: Is It Normal or a Cause for Concern?
Understanding Ejaculation Difficulties: Causes and Solutions for Couples
Ejaculatory dysfunction Hello Dr. Lin, I have a question I would like to ask for your opinion on. My husband is 32 years old and his daily life is quite normal. He occasionally drinks a little alcohol, but every time we have intercourse, he has difficulty ejaculating. This misma...
Dr. Lin Wenxu Reply:
Dear Ms. Joyce, Thank you for your letter. I apologize for the delay in my response. Indeed, your husband's case of sexual dysfunction is relatively uncommon in clinical practice. Possible causes may include congenital issues related to sperm production, anatomical abnormal...[Read More] Understanding Ejaculation Difficulties: Causes and Solutions for Couples
Can Sperm Still Be Present Three Months After Vasectomy?
Will there still be sperm after three months of contraception? Hello Dr. Lin, my husband had a vasectomy with you in March this year. At that time, you mentioned that he could return for a follow-up examination after three months. Does this mean that a vasectomy does not guarante...
Dr. Lin Hexing Reply:
Hello, woman with a headache: The main purpose of a semen analysis three months after surgery is to ensure that there is a significant amount of sperm stored in the sperm reservoir after a vasectomy. It typically requires 15 to 21 ejaculations to clear out the reservoir. Therefor...[Read More] Can Sperm Still Be Present Three Months After Vasectomy?
Understanding Testicular Issues: Concerns About Size and Position
Testicular issues? I have a question. Why do my testicles appear to be retracted into the skin when I am sitting, making them look flat? When I stand, they seem to hang down and I can see their shape. However, when I have an erection, the skin pulls tighter and my testicles becom...
Dr. Cai Bingkun Reply:
The scrotum is commonly referred to as the "treasure bag," as each side contains four important structures: the testis, epididymis, vas deferens, and seminal vesicle. Typically, the size of these structures in an adult is approximately 4 x 3.5 x 2 cm. If these structure...[Read More] Understanding Testicular Issues: Concerns About Size and Position
Concerns About a Hard Lump on My Testicle: What Could It Be?
I need help? I recently discovered a small, marble-like lump attached to my left testicle. It feels round and hard to the touch. I'm worried it might be testicular cancer. Can you please help me understand what this could be? I'm studying in the UK and am currently in t...
Dr. Cai Bingkun Reply:
A normal scrotal physical examination typically reveals four structures: the testes, epididymis, spermatic cord, and vas deferens. The scrotum is colloquially referred to as the "eight-treasure bag." The hard structure that the author refers to as being attached to the ...[Read More] Concerns About a Hard Lump on My Testicle: What Could It Be?
Understanding Vasography: Risks, Contrast Agents, and Recovery Time
Vasography I am currently receiving treatment at a hospital in Tainan and have been suspected of having obstructive azoospermia due to a blockage at the ejaculatory duct (with a prostate cyst). I have some concerns regarding the upcoming vasography and would like to ask about the...
Dr. Pan Zhenqin Reply:
There is no literature indicating that the contrast agents used in vasography harm sperm. Generally, any discomfort experienced typically improves within one or two days after the procedure, primarily due to pain from surgical incisions made while locating the vas deferens. Since...[Read More] Understanding Vasography: Risks, Contrast Agents, and Recovery Time
Understanding Post-Vasectomy Symptoms: Is Swelling a Concern?
Sterilization issues Hello Dr. Pan, I underwent a vasectomy a year ago, but recently I've been feeling a sense of swelling. Could this be due to a blockage caused by the vasectomy? What happens to the fluid that would normally be expelled when the vas deferens is tied off? P...
Dr. Pan Zhenqin Reply:
One year post-surgery, the sensation of swelling may be due to scar tissue or the formation of granulation tissue at the surgical site. A warm sitz bath for about 10-15 minutes daily may help improve this condition. After a vasectomy, the testes will continue to produce sperm for...[Read More] Understanding Post-Vasectomy Symptoms: Is Swelling a Concern?
Understanding No-Scalpel Vasectomy: Benefits, Risks, and Recovery
What is no-scalpel vasectomy? I recently heard about the "no-scalpel vasectomy" recommended by Dr. Jiang Hansheng. Have you heard of this procedure? How does it differ from traditional vasectomy? Is it really incision-free? Will it be painful? Is the recovery time faste...
Dr. Chen Xiuyi Reply:
Hello! The so-called no-scalpel vasectomy for men does not mean there are no incisions; rather, the incision is smaller, approximately 0.5 cm. During the procedure, the vas deferens is cut, tied, and cauterized, similar to traditional vasectomy techniques. The main difference lie...[Read More] Understanding No-Scalpel Vasectomy: Benefits, Risks, and Recovery
Understanding Testicular Pain: Is It Varicocele or Something Else?
Is it varicocele? After intimate moments with my girlfriend, if I don't ejaculate immediately, my testicles start to feel swollen and painful after a while. Sometimes the pain is so intense that I can't stand up straight. If I relieve myself through masturbation during ...
Dr. Lin Hexing Reply:
Hello Robert, experiencing a feeling of swelling or soreness in the testicles during sexual activity without ejaculation is a normal response. Typically, during the final stages of sexual activity, the prostate gland also becomes engorged. If one frequently engages in sexual acti...[Read More] Understanding Testicular Pain: Is It Varicocele or Something Else?
Understanding Hematospermia: Causes and Concerns in Urology
Hemorrhage Hello, I would like to ask what causes blood in semen? Thank you.
Dr. Lin Wenxu Reply:
Hematospermia can have various causes, including infections, localized microvascular rupture, and even tumors. Currently, a more effective examination method is transrectal ultrasound imaging, which can assess the seminal vesicles or local vas deferens, as well as check for abnor...[Read More] Understanding Hematospermia: Causes and Concerns in Urology
Understanding Male Infertility: Essential Steps for Diagnosis and Treatment
Infertility Hello, Dr. Hsu: I have been married for over four years. Three years ago and recently, I underwent two semen analyses, both showing "no sperm present." Dr. Luo from the Department of Obstetrics and Gynecology referred me to the Department of Obstetrics and G...
Dr. Xu Weikai Reply:
Azoospermia generally requires consideration of: 1. Obstruction of the vas deferens or ejaculatory duct. 2. Undeveloped testes. 3. Abnormal hormone levels or endocrine issues, as well as other factors. Based on your report indicating low male hormone levels, I recommend the follo...[Read More] Understanding Male Infertility: Essential Steps for Diagnosis and Treatment