Varicocele Signs and symptoms, Infertility Causes, and Treatment

 

Varicocele and Male Infertility

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As with varicose veins, when a varicocele is present, the vein’s valve that helps blood flow upward to the heart becomes dysfunctional. This causes blood to pool in the area. This may lead to swelling, testicular shrinking, infertility, and sometimes pain.

Varicocele’s are relatively common, occurring in up to 15% of men. A varicocele may need treatment when: A man has a varicocele and a low sperm count or other problems with sperm. The varicocele is causing pain or swelling.

The symptoms for varicocele are difficult to spot for an untrained individual. However, some symptoms of varicoceles that could be identified are listed below. One of the testicles will have a lump. There may be a mild pain that keeps recurring in your scrotum.

Varicocele is a kind of vascular disease, which refers to the abnormal expansion, elongation and tortuosity of the venous plexus in spermatic cord, which can cause pain and progressive testicular dysfunction. It is one of the common causes of male infertility. Highly Effective, Widely Available Treatment is Underutilized A varicocele is a varicose vein of the testicle and scrotum that may cause pain, testicular atrophy (shrinkage) or fertility problems.

Veins contain one-way valves that work to allow blood to flow from the testicles and scrotum back to the heart. Varicoceles are a common cause of low sperm production and decreased sperm quality, which can cause infertility. However, not all varicoceles affect sperm production. Varicoceles can also cause testicles to fail to develop normally or shrink. Varicoceles are common and usually form during puberty.

Symptoms may include: a lump in one of your testicles, swelling, visibly enlarged veins, or a dull, recurring pain in your scrotum. With time, varicocele causes no symptoms, it often requires no treatment. Varicoceles might get discovered during the fertility evaluation. If you experience pain in the scrotum, notice that your testicles are of different sizes or if you have developed a varicocele during your. VaricoceleTypes, Causes, Symptoms, Treatment and Home Remedies.

July 18, It is one of the most common causes of low sperm count and poor sperm quality, which may lead to infertility. Varicocele is a medical condition of the male scrotum in which there is abnormal venous dilation of scrotum vein or pampiniform venous plexus, which leads. Varicocele is a medical condition in which the veins of a man’s scrotum become engorged with blood, causing them to swell up. This swelling can result in an enlarged scrotum, testicular shrinkage, and recurrent, if relatively mild, pain.

Because the scrotum holds the testicles, varicocele’s most important impact may be on male fertility.

List of related literature:

Treatment is indicated only if the varicocele is causing symptoms.

“Nursing the Surgical Patient” by Rosie Pudner
from Nursing the Surgical Patient
by Rosie Pudner
Elsevier Health Sciences UK, 2010

If the varicocele is mild and fertility is not an issue, no treatment is required, and a scrotal support is usually sufficient to relieve symptoms of heaviness.

“Brunner & Suddarth's Textbook of Medical-Surgical Nursing” by Janice L. Hinkle, Kerry H. Cheever
from Brunner & Suddarth’s Textbook of Medical-Surgical Nursing
by Janice L. Hinkle, Kerry H. Cheever
Wolters Kluwer Health, 2013

(a condition in which sperm production is compromised due to abnormal blood flow to the area and varicose veins around a testicle, elevated scrotal temperature, and a reflux of toxins back into the testicle) your doctor may recommend a varicocelectomy to treat the problem, and hopefully restore fertility.

“What to Expect: Before You're Expecting” by Sharon Mazel, Heidi Murkoff
from What to Expect: Before You’re Expecting
by Sharon Mazel, Heidi Murkoff
Simon & Schuster UK, 2010

Varicocele and male infertility

“Textbook of Oral and Maxillofacial Surgery” by Balaji
from Textbook of Oral and Maxillofacial Surgery
by Balaji
Elsevier (A Divisionof Reed Elsevier India Pvt. Limited), 2009

While this makes varicocele the second most frequent pathological finding after idiopathic infertility, it does not give any indication of the importance of the finding and whether is it really a cause of infertility at all.

“Andrology: Male Reproductive Health and Dysfunction” by Eberhard Nieschlag, Hermann M. Behre, Susan Nieschlag
from Andrology: Male Reproductive Health and Dysfunction
by Eberhard Nieschlag, Hermann M. Behre, Susan Nieschlag
Springer Berlin Heidelberg, 2010

• Surgery or other treatment maybe recommended if the varicocele causes pain, atrophy, or infertility.

“Griffith's Instructions for Patients E-Book: Expert Consult” by Stephen W. Moore
from Griffith’s Instructions for Patients E-Book: Expert Consult
by Stephen W. Moore
Elsevier Health Sciences, 2010

Varicocele is painful in 2% to 10% of men with infertility.

“Williams Textbook of Endocrinology E-Book” by Shlomo Melmed, Kenneth S. Polonsky, P. Reed Larsen, Henry M. Kronenberg
from Williams Textbook of Endocrinology E-Book
by Shlomo Melmed, Kenneth S. Polonsky, et. al.
Elsevier Health Sciences, 2011

If the varicocele is interfering with fertility, ask your doctor to

“The Harvard Medical School Family Health Guide” by Anthony L. Komaroff, Harvard Medical School
from The Harvard Medical School Family Health Guide
by Anthony L. Komaroff, Harvard Medical School
Simon & Schuster, 1999

A varicocele can be treated surgically if it causes scrotal discomfort or impairs fertility.

“An Introduction to Human Disease: Pathology and Pathophysiology Correlations” by Leonard V. Crowley
from An Introduction to Human Disease: Pathology and Pathophysiology Correlations
by Leonard V. Crowley
Jones and Bartlett, 2007

A varicocele usually causes no symptoms.

“Ferri's Clinical Advisor 2020 E-Book: 5 Books in 1” by Fred F. Ferri
from Ferri’s Clinical Advisor 2020 E-Book: 5 Books in 1
by Fred F. Ferri
Elsevier Health Sciences, 2019

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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20 comments

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  • Sir,
    Please reply
    am 24 years and I have grade 2 subclinical variccocele. When I masturbate the semen is in yellow colour. Should I be worried or is it normal? What will be the possible cause for yellow semen.?

  • This is just superb, I’ve been looking for “when should i be concerned about varicose veins?” for a while now, and I think this has helped. Ever heard of Siyulianor Salient Supremacy (should be on google have a look )? It is a smashing one off product for discovering how to Getting Rid of varicose Veins minus the headache. Ive heard some interesting things about it and my neighbour got excellent success with it.

  • ഡോക്ടർ ഒരു നരബീന്ന് വരികോസിന് ഉണ്ട് പക്ഷെ നോര്മലാണ് ബീജം ടെസ്റ്റ്‌ ചെയ്തപ്പോൾ kahudil ഏറ്റകുറച്ചി ൽ ഉണ്ട് ഓപറേഷൻ വേണ്ടി വരുമോ ബീജം ടെസ്റ്റ്‌ ചെയ്താൽ വെരികോസിൻ ഉണ്ടകിൽ അറിയാൻ പറ്റുമോ ചിലർ പറയാറുണ്ട് ബീജം ചെക്ക് ചെയ്താൽ വെരികോസിൻ ഉണ്ടകിൽ അറിയാൻപറ്റും കുട്ടികൾ ഉണ്ടാകാത്തതിന്ന് ചികിൽഷാ ചെയ്യുന്നു ഞാൻ ടോക്ടറോട് പറചിട്ടില്ല മുത്രംകല്ലിനു ചെക്ക് ചെയ്തപ്പോൾ ആണ് വര്ഷത്തിന്ന് വെരിക്കോഷിന്ന് കണ്ടത് ഒരു മറുപടി തരണം

  • Plz rply..
    ഡോക്ടർ… ivf ചെയ്യാൻ തയ്യാറെടുത്ത ദമ്പതിമാരാണ്,കാരണം ഹുസ്ബന്ഡന് കൗണ്ടും ആക്റ്റീവ് ഉം വളരെ kuravanu..10%കൗണ്ട്, 20, 30ആക്റ്റീവ്..
    Ivf നുവേണ്ടി ഹുസ്ബൻഡ് നു ചെക് ചെയ്തപ്പോൾ.. വൃഷ്ണത്തിൽ വെരികോസ് ആണെന്നും…
    ആക്‌ടീവ്‌ കുറവ് ഇതുകാരണമാണെന്നും ഓപ്പറേഷൻ വേണമെന്നും പറഞ്ഞു… എന്നിട്ട് ivf ചെയ്യാമെന്ന്…
    Plz റിപ്ലൈ ഞങ്ങൾ എന്ത് ചെയ്യണം… ഓപറേഷൻ ചെയ്യണോ

  • Sir,
    ക്ലാസ് വളരെ പ്രയോജനപ്പെട്ടു.
    എനിക്ക് വൃഷണത്തിന് വലതുഭാഗത്ത് വെരിക്കോസിൽ തടിച്ചു കിടപ്പുണ്ട്. 15 വർഷം മുമ്പാണ് ഇത് കണ്ടുപിടിച്ചത് അന്ന് ഒരു ഡോക്ടറെ കാണിച്ചപ്പോൾ അദ്ദേഹം പറഞ്ഞത് കുട്ടികൾ ഉണ്ടാകുന്നില്ലെങ്കിൽ, അല്ലെങ്കിൽ വേദന ഉണ്ടെങ്കിലോ മാത്രം കൂടുതൽ ചികിത്സ മതി അല്ലെങ്കിൽ അത് മൈൻഡ് ചെയ്യേണ്ട ആവശ്യമില്ല വേറെ പ്രശ്നമൊന്നുമില്ല എന്ന് പറഞ്ഞു. എന്നാൽ അതിനുശേഷം എനിക്ക് കുട്ടികൾ ഉണ്ടായി. എന്നാൽ ഇപ്പോൾ ചെറുതായി ചില സമയങ്ങളിൽ ചെറുതായിട്ട് വേദനയും അസ്വസ്ഥതയും ഉണ്ടാകാറുണ്ട്.. ഈ വെരിക്കോസിൽ ഇനി കൂടാതിരിക്കാൻ അല്ലെങ്കിൽ കാഠിന്യം കുറക്കാൻ എന്തെങ്കിലും ഭക്ഷണരീതികൾ ഉണ്ടോ അല്ലെങ്കിൽ എന്തെങ്കിലും വ്യായാമങ്ങൾ ഉണ്ടോ?

  • എനിക്ക്‌ ഇതേ പ്രശ്നമുണ്ട്‌.ത്രിശൂർ ജൂബിലി മിഷൻ ഹോസ്പിറ്റലിൽ ഒരു സർജ്ജനെ കാണിച്ചു.അയാൾ സ്കാൻ ചെയ്തു,സർജ്ജറി ചെയ്യേണ്ടന്നും ഭാവിയിൽ മണിവീക്കം ഉണ്ടാവുമെന്നും പറഞ്ഞ്‌ വിട്ടു.ട്ടൈറ്റുള്ള ജെട്ടി ധരിക്കാനും നിർദ്ദേശിച്ചു.കുട്ടികൾ ഉണ്ടാവുന്നില്ലങ്കിൽ അപ്പൊ സർജ്ജറി ചെയ്യാമെന്ന് പറഞ്ഞു.

  • സർ
    ഞാൻ ഒരു പ്രവാസി ആണ്
    എനിക്ക് വൃക്ഷണം ഇടക്ക് മുകളിലേക്ക് കയറി വരുന്നു. പിന്നീട് താഴെക്ക് ഇറങ്ങി പോകുന്നു ചിലപ്പോൾ വേദന ഉണ്ടാകുന്നുണ്ട്. എന്താണ് അതിന്റെ കാരണം ഇടത്തെ വൃക്ഷണം ആണ് വേദന ഉണ്ടാകുന്നത് ഇത് കൊണ്ട് എന്തെങ്കിലും പ്രശ്നം ഉണ്ടോ ഡോക്ടർ മറുപടി പ്രതീക്ഷിക്കുന്നു

  • Before you do medical procedure, give me a minute to explain a possible alternative solution.
    I was diagnosed with varicocele, I had a dull pain that comes and go. The doctor said it’s not severe that I need operation. I tried positive thinking, massaging the groin area, eating healthy etc. Living in South East Asia, I have the benefit of getting reflexology (foot massage) for cheap. It wasn’t after a few times I noticed that when I do regular massages I did not notice the dull pain and the swelling was small. When I didn’t go after a while, the swelling and pain will appear dramatically.
    This leads me to my next finding. A few years ago I had a foot injury due to improper use of spinning cycle. At the time it felt as if I just pulled a muscle. However I noticed after time that my left foot and leg would get tired much easily than my right and my inner butt muscle area had a dull pain that felt good when massaged but it would never go away. Stretches helped. My left foot also have this clicking when moved a certain way. I’m quite sure there must be some kind of misalignment due to the injury.
    In any case, I now try to do routine foot massages (although due to the pandemic I try to do it myself) as well as stretches of my foot and leg. I rarely ever see any flare up of swelling and or pain. Perhaps if you’re suffering from this, think back whether or not you had foot/leg injury and try massaging. Hopefully this will help you.

    Tl;Dr: I have varicocele, possibly caused by a foot injury and somehow affecting blood circulation, does massaging and stretches and now it’s almost non existent. Good luck.

  • Dr ente left maniyil njarambu chutapetu kidakunu…athukondu bhaviyil nthelum issues undagumoo dr.athoo ippo thanne nammuku athu maatuvan saathikuvoo….eniku 18 vaysaanu.. plzzzz reply Dr

  • Sir,
    എന്റെ right side ball il പിടിക്കുമ്പോൾ ഞരമ്പുകൾ പിണഞ്ഞു കിടക്കുന്നണ്ട്. ചില നേരങ്ങളിൽ കഴപ്പ്, ഭാരക്കൂടുതൽ, ചെറിയ വേദന.
    തുടങ്ങിയവ അനുഭവപ്പെടാറുണ്ട്. എനിക്ക് 32 വയസ്സായി. വിവാഹം കഴിക്കാൻ പോകുന്നു. ഞാൻ എന്താണ് ചെയ്യേണ്ടത്. ഞാൻ ഒരു യൂറോളജി ഡോക്ടറെ കാണണമോ. ഇതിന്റെ അസ്വസ്ഥകൾ കാരണം ഉദ്ധാരണം പൂർണമായും നടക്കുന്നില്ല.
    എന്തെങ്കിലും സ്കാനിംഗ്, ടെസ്റ്റുകൾ ചെയ്യണമോ.
    ഡോക്ടർ എനിക്ക് വിശദമായി ഒരു ഉത്തരം തരണം.

  • Sir enik 22 vayass und. Enik mumb nalla thick ayitan semen vararundayirunath but ipo watery pole aan. Athra thickum alla athra watery alla. Enik edak scrotum bakathum penisnte bhagathum vedana edukarund.ith enthinte problem aan?

  • my husband have same problem he is 30 years old now no its almost 4 years after marriage no kids doctor suggest surgery is it completely curable after surgery we can have baby please reply sir

  • THANK YOU VERY MUCH, I FOUND THIS TOPIC VERY HELPFUL TO ME CAUSE I ONCE DID OPERATION ABOUT THIS AND IS FROM THE RIGHT SIDE OF MY LEG..
    I DO FEEL PAINS ON MY VEINS AROUND MY RIGHT SIDE TESTES LITTLE AT THE LEFT SIDE.
    PLEASE I NEED MORE INFO ON WHAT TO DO.
    THANKS AND GOD BLESS.

  • Sir ningal oru valya manshyan aan, njan aake pedich nikkuka aayirunnu due to 1 to 2 grade varicocel, innan kandath, 23 vayasse ayullu enik, mbbs nu aan padikunne, but sir parjath kettitt samadhanam aayi

  • Sr വരിക്കോസിൻ ഓപറേഷന് മുബ് total count 40 മത്രം മോട്ടിലിറ്റി 5 മാത്രം ആയിരുന്നു ഓപറേഷന് കഴിഞ്ഞു 7 മാസം ആയി ഇപ്പോൾ total 44 million active motile 15 > 50
    Sluggish. 40 < 25
    Non motile. 45 < 25
    ആണ് ഉള്ളത് ഇത് നോർമൽ ആണോ please reply

  • Hello doc, I ha s a varicocele grade 2, i:m 22 years old, i have a plan to married with my girlfriends, but i lost my confidence, because i know, varicocele can cause infertility, i:m alredy go tothe urologist and the doctor just give me the drugs for relieve my pain, and the doctor say i must come to urologits again in next year, i:m so scared and i lost my confidence, do you think i still can to has a child? i lost my hope and so scared..

  • Ente brothern age 18 aan.. left side grade 2 und.. right side grade 1.. vedhana onnum vellatha illa.. operatn cheyyano?.. ith operation cheythillenkil grade kuudumo?

  • This video is not created by Dr. Vasan S S as the original video was uploaded here, https://www.youtube.com/watch?v=N_Osl93Saog by the Canadian Urological Association’s Patient Information Committee
    Please remove the video.

  • I have problem grade3 verecocele problem with papmniform flexus and it can cause abnormal sperm left testicle size small is it need surgery and i get well?please tell

  • Dctr nde husbandinde semen test chythapol sperm count 11millions/cummm
    Liquifaction; 1 hr
    Volume:3ml
    Sperm morphology
    Normal:60%
    Abnormal: 40%
    Double head:present
    Tail less:present
    Large head:present
    Swollen neck: present
    Double tail: Nil
    Small head: present

    Dctr paranju count kurava vericocele undakum surgery chyan…dctr ithinu ntha or solution?above mentioned sperm resultil nthelum complications undo?undenkil oru solution suggest cheyavoo sir plss