It may be that the issue is not only tiredness. Varicocele is often the reason for these problems, though it can be silent for years before disturbing the reproductive health of the patient. In men, varicocele is common and it results from the bulging of scrotal veins. There is no need to suffer to read this: it helps both the mentally healthy and unhealthy. In this section, we will cover the signs, ways of diagnosing kidney disease, and the situations when you should see a doctor. Stick with us to make sure you understand the basics. What tells us if we have varicocele?
What exactly is varicocele?
Varicocele refers to when the pampiniform plexus veins that take blood away from the testicles to the heart become greatly dilated. Varicocele, which is like varicose veins in the leg, is found in the scrotum instead. Blood not draining properly occurs due to the faulty venous valves, which leads to venous buildup, redness, and a lack of oxygen reaching the testicles. Why should we take it seriously?
- It is one of the main causes of male infertility.
- People often get it just on the left side, but both can also be affected.
- If untreated, the condition may cause the testes to shrink and the testosterone to decrease.
Warning signs of varicocele
In various cases, varicocele does not cause any symptoms, so it might be detected when a person seeks help for infertility. However, when a person has symptoms, it is important to address the signs. These are the most usual signs that someone has varicocele:
- Experiencing stronger pain when working out or exercising;
- Loss of testicular volume in just one of the testicles (typically the left one);
- Infertility or reduced sperm motility in a semen test;
- unclear pain or pressure in the testicles, which may be stronger after you’ve been standing for a long period;
- An obvious lump in the scrotum that has the appearance of a “bag of worms.”
Note: The signs and symptoms may change depending on the severity of the disease, and there are those who notice their varicocele during a routine assessment.
How do we know about varicocele ourselves?
It is possible to detect the early signs of varicocele by paying close attention to our body when they occur. Still, the diagnosis should be made by a doctor, yet being able to recognize the symptoms will allow you to seek help earlier. Ways you can identify varicocele at an early stage:
- Touching the scrotum: Touching a soft, rolled-up mass that seems like “bag of worms” while standing is a possible sign of varicocele.
- Feeling sore or heavy in the legs after you have been on your feet for some time: If you find that your testicles are a little sore or tight after working out or after a long day, you should not ignore it.
- Testicular symmetry: Notice in the mirror that one testicle (typically the left) looks smaller or is located lower than the other; it may be a sign of varicocele.
- Increased pain during activity or heat: When you are active or it is hot, you feel more pain. Increasing your body’s temperature and activity can make your pain worse.
When should I see a doctor?
Many men often delay going to the doctor out of embarrassment or because they ignore what is happening to them. Sometimes, catching possible issues early with a urologist may help prevent infertility. When to see a doctor:
- While looking into male fertility issues (testing of sperm);
- When the pain in the testicles does not improve or becomes worse;
- If you find a lump in your testicles that does not feel like a regular one;
- When there is any difference in the way the testicles look or their placement;
- If you find that your testicle gets smaller, or you have trouble getting in the mood.
Medical warning: Some of these signs might be seen with testicular torsions or cancer. Detecting cancer early increases the chances of preventing it.
Medical Diagnosis Methods of Varicocele
To diagnose varicocele, your urologist will use techniques that are based on its severity and your symptoms. Steps to diagnose varicocele:
- Checking a person’s posture while they are standing. The doctor feels for any venous mass in the patient’s testicles. During the assessment, it is possible that a strain or Valsalva maneuver may be requested from the patient so the enlarged veins are noticeable.
- Testicular Doppler ultrasound: It is the best way to confirm the presence of varicoceles. This type of scan reviews the blood flow, the size of the veins, and the way blood returns to the heart.
- Varicocele grading: Varicocele is classified into three grades depending on its severity.
- Grade 1: Detectable ultrasound only
- Grade 2: It exists through touch rather than through its appearance
- Grade 3: Clearly visible
At times, the doctor may do a sperm test to see how varicocele affects the ability to have children.
Does varicocele always need treatment?
One thing many people wonder after being diagnosed with a varicocele is if treatment is the right choice every time. It depends on the patient’s condition, whether the person is trying to have children, and the advice of the doctor. When is treatment not necessary?
- If the varicocele is asymptomatic;
- Where there is no decline in a person’s ability to conceive;
- If the size and development of the testes are suitable, then it is within the normal range.
Usually, the doctor advises that the patient keep coming for follow-ups and if additional symptoms occur, proper treatment should be applied. Cases that require treatment:
- Repeatedly or persistent pains in the testicles;
- Decrease in the size of a testicle, mostly in teenagers;
- Differences in sperm counts or lack of sperm might be reasons for infertility;
- Advice from a doctor to perform surgery for advanced or bilateral cataracts.
Available treatments for varicocele
Doctors decide on treatment based on the patient’s condition and the seriousness of the disease. While many problems can be treated without surgery, surgery will be recommended if the issue persists. Treatments include:
- Supportive Care
- Avoid stressful activity or being on your feet for a long while;
- Follow the advice of a doctor by using anti-inflammatory medications;
- Wear proper underwear and use drinks with added protection for the testicles.
- Varicocele surgery
- Laparoscopy: It is performed by using a camera and various instruments;
- Microscopic varicocelectomy: the most usual and reliable method done with the highest degree of safety;
- Venous embolization: Doctors use a catheter to treat the issue by blocking the damaged blood vessels (most often in advanced centers).
Benefits of successful varicocele treatment:
- Improving the sperm to help with fertility;
- Lowering pain and improving enjoyment of life;
- Stop testicular resorption and reduce the amount of testosterone.
Final Thoughts
Early symptoms, when to seek help, and the procedures for diagnosis and treatment are three things men should know about male reproductive health care. When you notice pain, a sensation of weight, or changes in fertility, seek advice from a specialist. A bull being treated early can avoid infertility and enjoy a better life.
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