Varicocele: Pain, Sexual Activity, and Symptoms Explained

Q: Varicocele: Pain, Sexual Activity, and Symptoms Explained

Hello： The answers to your three questions are all possible, but other causes cannot be ruled out. <br>If there is a deep wound on the foreskin, sexual intercourse is not recommended to avoid infection. <br>Since an infection has already occurred, please follow the doctor's instr

Doubts about Varicocele

Hello, Doctor.
About a week ago, I developed a somewhat deep wound on my foreskin due to friction.
After that, I engaged in sexual intercourse with my girlfriend, which resulted in severe pain during urination.
I went to a clinic and was diagnosed with urethritis and began treatment.
Two days ago, I suddenly felt soreness and numbness in my testicles, along with some pain, and my scrotum showed engorged, worm-like blood vessels.
After sleeping, the symptoms were slightly less pronounced, and I was diagnosed with mild varicocele.
Here are my questions:
1.
Can varicocele cause difficulties and pain during ejaculation?
2.
Is it safe to engage in sexual intercourse with a varicocele?
3.
Can varicocele lead to a feeling of swelling in the sphincter and swelling of the testicles?
I would greatly appreciate it if you could take the time to answer my questions.
Thank you!

Niming, 20~29 year old female. Ask Date: 2016/09/20

Dr. Sun Hongshun reply Urology

Hello: The answers to your three questions are all possible, but other causes cannot be ruled out.
If there is a deep wound on the foreskin, sexual intercourse is not recommended to avoid infection.
Since an infection has already occurred, please follow the doctor's instructions for treatment (as the medication should include antibiotics).
During your follow-up appointment, please have the urologist check whether it is indeed a varicocele and whether treatment is necessary.

Reply Date: 2016/09/20

More Info

Varicocele is a condition characterized by the enlargement of veins within the scrotum, similar to varicose veins that can occur in the legs. It is a common condition, affecting approximately 15% of the male population, and is often found in men aged 15 to 25. Understanding the implications of varicocele, especially in relation to sexual activity, pain, and other symptoms, is crucial for those affected.

1. Can Varicocele Cause Pain and Difficulty with Ejaculation?
Yes, varicocele can lead to discomfort or pain in the scrotum and testicles. The pain may vary in intensity and can be exacerbated by prolonged standing or physical activity. Some men report a dull ache that can become more pronounced after sexual activity or ejaculation. While varicocele itself does not directly cause difficulty with ejaculation, the associated discomfort may lead to anxiety or psychological factors that could affect sexual performance. In some cases, if the varicocele is severe, it may impact sperm production and quality, which could indirectly affect sexual function.

2. Is Sexual Activity Safe with Varicocele?
Engaging in sexual activity with a diagnosed varicocele is generally considered safe. However, if you are experiencing significant pain or discomfort, it may be wise to consult with a healthcare provider before proceeding. It is essential to listen to your body; if sexual activity exacerbates your symptoms, it may be advisable to limit such activities until you have discussed your condition with a urologist. In many cases, men with varicocele can maintain a normal sexual life without complications.

3. Can Varicocele Cause a Sensation of Swelling in the Sphincter Muscle and Testicular Swelling?
Varicocele can lead to a feeling of heaviness or swelling in the scrotum due to the engorgement of the affected veins. This sensation may sometimes be misinterpreted as swelling in the testicles or the surrounding area. However, varicocele itself does not typically cause direct swelling of the testicles or the sphincter muscle. If you are experiencing significant swelling or discomfort in these areas, it is crucial to seek medical attention, as these symptoms could indicate other underlying conditions, such as epididymitis or testicular torsion, which require prompt evaluation.

In summary, while varicocele can lead to discomfort and may influence sexual function indirectly, it is generally manageable. If you are experiencing pain, changes in sexual function, or any new symptoms, it is essential to consult with a urologist. They can provide a thorough evaluation and discuss potential treatment options, which may include lifestyle changes, pain management strategies, or surgical intervention if necessary. Regular follow-ups can help monitor the condition and ensure that any complications are addressed promptly.

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