Questions You Are Too Embarrassed to Ask Your Urologist

Part Two

Our blog post “10 Questions You Are Too Embarrassed to Ask Your Urologist” was so popular that the providers at Utah Men’s Health decided to answer several more questions for our readers! Below are 7 questions that some men can be hesitant to ask:

1. If I have erectile dysfunction, does that mean my testosterone is low?
   No. Testosterone and erections are not directly related. For men with erectile dysfunction, it would be recommended to have your testosterone checked as we know that a normal testosterone level is beneficial to erectile function, though there are many other factors that determine erectile quality.
2. How long does sperm live inside the vagina?
   Sperm can live inside the female vagina for 4-5 days post ejaculation. If you are trying to conceive, this means having intercourse prior to ovulation, and through ovulation, will give you the best chance of pregnancy.
3. What should I do if I notice blood in my semen?
   While this condition, called hematospermia, is often benign and short lived, we recommend you see a urologist if it is persistent.
4. Should my testicles be the same size?
   Your testicles do not have to be identical in size and, oftentimes, one sits higher than the other. A normal adult testicle measures 3-5cm in length and is ovoid. The size of the testicles often decreases as men age. If you notice a change in testicular size or consistency, or feel like your testicles are smaller than average, this should prompt a urological evaluation.
5. Should I avoid tight underwear or compression shorts for working out when trying to conceive?
   You can still wear your normal underwear and work out in tight compression shorts. The testicles are most efficient when they are cooler than the rest of the body. The heat to avoid is hot tubs and saunas, as that temperature does not cool off or provide ventilation.
6. When I get a vasectomy, will the ejaculate volume be noticeably smaller?
   No. The majority of your semen comes from your seminal vesicles, not from sperm numbers themselves. Other structures in the genitourinary system contribute to the fluid volume as well; but, the sperm themselves, when removed, will not result in a noticeable decline of your semen by you or your partner.
7. I’m a diabetic, could this negatively impact my sexual health?
   Yes. It is important to control your diabetes and keep a low A1C. Diabetes can negatively impact your sperm counts, ejaculate amount, and erectile function. We have even diagnosed men with diabetes when they have presented with sexual dysfunction.

We always encourage an open dialogue between patient and physician, and remember that there is probably nothing you can ask your urologist that we have not heard before! If you have more questions you would like answered, click here to request an appointment or call us at 801-587-1454.