Friday 20 July 2018
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Varicocele: More common than you think

There are many reasons why a man should visit the urologist and varicocele is one of them: a problem that affects 30% of men, some doctors describe as being “Like a sack of worms.” Although this description sounds disgusting, you should not be alarmed; this definition only comes from the physical aspect that it has.

What is, in fact, “is a dilation of the spermatic vein that collects the blood of the testicle,” We can explain and describe varicocele as this long web of blood vessels that go from the kidneys to the testicles, which is called the venous plexus. In short, we can maybe compared with the varicose veins of the legs, but in the testicles. A common varicocele case is one that appears in the left testicle, although it can happen in the right one or bilaterally.

Consequences for the testicle

Having something that resembles a “worm bag” as an idea of something you have in the testicle is not the only effect varicocele causes. Although experts continue to investigate how it affects the male reproductive gland, the clearest and known consequence is in the production of sperm.

The testicles hang outside the body because normal testicular function requires cooler temperatures, than the rest of the body. If the body’s normal temperature is around 37 degrees Celsius, the temperature of the testicles is 35 degrees.

Not all men with varicocele have fertility problems.

Varicocele reduces the testicle’s ability to regulate temperature and increases it by a couple of degrees. Therefore, the production of sperm and its quality decreases. At its late stage, it can cause infertility: “Approximately 40 percent of men who have trouble conceiving will have a varicocele,” according to Stanford data.

In addition to fertility problems, which do not affect all men with varicocele, a recent study from Stanford University, has determined that it can produce other health problems: “It is associated with low levels of testosterone and low testosterone, in turn, is related to metabolic risks and heart disease, “says Urology resident and research team member Nancy Wang.

Symptoms and Treatment

The physical aspect of the testicle changes

Patients will feel slight discomfort or pain, especially when standing. Although, on many occasions, it is not noticed.

Treatment will depend on the size of varicocele. In many cases, Stanford says, it is not necessary to treat them. But when they are very large, radiological therapies or surgery will be used. Once treated, it usually does not appear again.

It is recommended that men take many treatment alternatives and decide what works best for them. The surgical option is very frequent. Although it should be emphasized, not all varicoceles are subjected to operation. You will always have the option of taking a Natural Varicocele treatment. It may include temperature therapy and other treatments you can take at home.

On the other hand, you should know that the surgery for varicocele is ambulatory, fast and should not have complications if the procedure is well done.

The surgical alternative is recommended for adolescents who have varicocele and with objective evidence of testicular size reduction on the same side of the varicocele. Also in adult men who have a palpable varicocele and an abnormal spermiogram. Young men with varicocele and normal spermiogram should be followed with spermiogram every one or two years.

When the operated varicocele is very large, a late complication can occur, which is known as hydrocele, which is the increase in the amount of fluid that exists between the internal walls of the scrotum and the testicle.


– Visit the urologist at the age of 18 if they feel pain, they have increased the volume of the testicle on the left side or if they have a testicular weight sensation.

– When doing self-examination, it is advisable to evaluate the testicular sizes. If there is a great asymmetry, they should consult the urologist.

– If the male who seeks to be a father has an altered spermiogram, it is also recommended that he visit a specialist.

Remember, your fertility not always depends solely on a condition. If you have one or don’t know yet, prevention and medical control is always the answer.


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