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Yes he is very happy with pyschiatrist that gave him counselling. Actually Dr.Amporn is his pyschiatrist for the past 5 years.

I believe that Dr.Amporn do not accept new patient due to her busy schedule.

https://www.samitivejhospitals.com/doctor/detail/amporn-benjaponpitak

Yes, but at Samitivej Srinakarin every Saturday. 1 hour each counselling.

Thank your so much Sheryl 

Thank you, Sheryl for recommended Prof. Paraya, he is the best.

Visited him on Jan 19. Looking at his nose through endoscope, he confirms that he does not have ENS. He said that surgery make my brother breathe easier and better, but he does not use to it. He answers my brother repeated questions patiently. So much time was given to a patient, I am extremely impress.

He is now getting much better after seeing him, Thank you.

Sorry for late reply as I am too busy about my brother.

Thank you Airalee for sharing your experience and because of your comment, I just ordered resmed cpap an hour ago and will arrive on Thursday to help humidify his nose.

Last week he has visited Manarom and Bangkok hospital and currently admitted to Samitivej srinakarin, as of today he still feels anxious about his nose. Everyday psychiatrist(Dr.Amporn) visit him 1 hour each day for counselling and ENT 20 minutes at his patient room. All 3 ENT doctors@samitvej confirm that his nose is not the problem and focus on his anxiety and depression.

He is currently get sleep aid throught his vein, he talke less, and lost he weight.

He is so desperate to see Prof. Paraya for such a long queue, so lucky that today I can change his appointment from 26 to 19 Jan.

Thank your so much, as every comment can apply to real life.

Thank you for recommending Dr Somchai @ Samitivej Sriracha, I will have him on my list.

This webboard is awesome, every answer are so helpful.

Thank you for your comment James Skinner

Yesterday, he went to see ENT doctor at bumrungrad, Dr looks inside his nose and said everything looks fine. He recommends my brother to see a psychiatrist. He believes that the dry nose problem is due to his anxiety.

My brother believe that he has ENS due to nose surgery 3 months ago. His symptom include depression, anxiety, dry nose, wake up at 3 am for a month. He went to see Bumrungrad ENT doctor twice and doctor say everything looks fine.

For the last 5 days, he keeps telling me that he is desperate and asking for my help. Today, I book an appointment with Assoc.Prof. Paraya Assanasen as recommended by Sheryl. The fastest queue is January 27, which he can’t barely wait. Please recommend doctors in Bangkok that treat ENS.

Thank you for your help

Thank you for everything Sherly, especially for your recommended doctors. I just met Dr. Charuspong yesterday, he is very caring indeed.

He do microsurgery, he said that it only take about an hour or less. 6 hours rest at hospital, 2 days can go to work, 2 weeks can start exercise.

I already book an appointment for surgery in 2 weeks, only on the left side.

For the counselling centers, if my symptoms get worse, I will surely have an appointment a couple of weeks from now.

Just have a semen analysis done yesterday at a clinic. (I live in Phichit, so traveling to Bangkok is time consuming.) Everything came out normal. I just rethink. Maybe depression is not related to varicocele, like you said.

Thank you for sharing your thought, that’s make me change my perspective.

I am now thinking that depression causing me focusing too much on something that is not real. I search for the causes too much that can make me blind. But I still meet Dr.Charuspong as schedule, maybe just for checkup.

At Samitivej, I have 1 hour of counseling each time I visit.

I also have met 3 doctors@samitivej, and 1@bumrungrad over last 2.5years

Sometime 2 doctors each visit. I have tried 2 SSRIs, 2 SNRIs, 3 Atypical, 1 tricyclic and 4 other meds in the past. Each try is about 2 months, but all meds did not relieve my depressions, some even make it worse. I am currently on Selegiline for depression, Valdoxan and Rivotril for sleep.

Thank you for narrowing to these 2 places. I have a look at NCS and PSI websites, my first impression is that facilities do not look like Samitivej.

Sorry to say that, please don't get me wrong. But because of your recommendation, I will surely try my first counseling at NCS in a few weeks.

Should I request Dr. Johanna, or Dr Rex, or just random is okay? Any recommendation please?

Thank you so much, Sheryl.

You are very nice and caring, even though we do not know each other.

Thank you, Sheryl. Lucky me, I got your help.

If not, this thread will be blank, and I surely have a hard time.

For depression, I have a visit montly@Samitivej for 2.5 years now.

I think depression is partially (maybe 40%) arise from varicocele.

From low T and not exercising due to pain, but maybe I might be wrong.

Thank you for suggesting a 2nd doctor, I will likely have an appointment with him too.

Not for back up, maybe for comparing the method of surgery.

I just read that microsurgery is better choice even though it takes longer recovery time.

It has higher success rate and lower reoccurrence rate.

Just want to know which doctor do microsurgery.

I hope that surgery will make things better, pain free, higher T.

But I would not be too disappointed, if things don’t turn out as expected.

Just want to take a change, didn’t expect much.

Even if surgery went wrong, I still have other options such as painkillers, IVF, and TRT.

Thank you for your concern, Sheryl.

Seem like I owe you so much, I don’t know how to pay you back.

But anything regarding powerplant or legal issues, I will try my best to help.

These are only two fields, I am good at.

Sorry for asking for help many times.

Since pain and depression is severe.

Recommended doctors is perfect,

but I need backup plan, just in case.

Can you please recommend a third doctor?

Thank you again, Sheryl

Just read some of your old posts,

seem like you are expertise in selecting doctor.

Just wonder how you know so much doctors detail.

Thank you for giving details about Dr.Charuspong.

Your given information makes me confident

and I just make an appointment with him next week.

Just also read a pantip forum commenting that he is very

professional, spend a lot of time in each case, and caring.

And also comment that he is conservative only treat infertility

or severe pain, just the same as your comment

“unless they were severe and/or causing infertility.”

You comment that recently grade 2 varicocele maybe

consider treating. Do you know any hospitals in/ outside Thailand?

I am desperate. You can guess, please advise. I will just keep trying.

Thank you.

Just 1 more question Sheryl,
Do Dr. Charuspong have an experience in varicocele surgery?
I know that chance of surgery will be low but will try it anyway.
Thank you, you help is really important for me.

Thank you Sheryl, I really appreciate your help,

I will be seeing Dr. Charuspong in the next few weeks as you recommended.

Maybe before I go to see him, I should have fertility checked.

If it low, I should be able to have surgery done easier.

Last year I have a visit with Dr.Premsant

https://www.bumrungrad.com/doctors/Premsant-Sangkum

Hi, I am local Thai age30 living in Thailand

I had bilateral varicoceles, grade1 on the left, grade 2 on the right.

Visit a urologist at Bumrungrad last year, but he said it was mild, no need surgery.

I would like to get it fix because of the pain and symptoms of low testosterone.

Currently I took antidepressants for almost 2 years, believe that the root cause was low T.

Got testosterone checked several times average of around 350,

low normal, but not out of normal range.

In the near future I would like to try TRT,

but before that, I would like to get varicocele fixed, so that maybe no need TRT.

Please help

Any doctors that would treat varicocele even if it is mild(not grade3)

I have no experience in hospitals outside Thailand.

Maybe Mayo clinic, UK, Singapore or any other countries would treat mild varicocele?

Thank you, your help is very appreciated.