Testicular Concerns: Varicocele and Other Symptoms Explained

Testicular issues

I previously had a check-up and was diagnosed with varicocele, but it wasn't very severe at that time.
It's been six months, and I've only noticed one prominent vein resembling a worm.
Occasionally, I experience a dull ache in my lower body.
However, I've now noticed something unusual on the left side; when lying down, it feels hard to the touch, but it doesn't hurt when pressed.
The left testicle appears normal (the varicocele is present on both sides).
I'm quite worried and would like to ask the doctor what this situation might be.

A Chen, 10~19 year old female. Ask Date: 2018/08/27

Dr. Li Xinyi reply Urology

Varicocele requires surgery for improvement.
If you are very concerned, it is advisable to visit a urologist for an examination and discuss it with the physician.
If you feel something hard upon palpation, you should also see a urologist for evaluation.

Reply Date: 2018/08/27

More Info

When it comes to testicular concerns, particularly regarding varicocele and other symptoms, it is essential to understand the implications of these conditions and how they may affect your health. A varicocele is an enlargement of the veins within the scrotum, similar to varicose veins that can occur in the legs. It is relatively common and can affect fertility and hormone levels, but many men with varicoceles do not experience significant symptoms.

In your case, you mentioned that you have been diagnosed with a mild varicocele, which is characterized by the presence of a "worm-like" vein in the scrotum. The occasional discomfort or dull ache you feel in your lower body can be associated with varicocele, especially if the veins are engorged or if there is increased pressure in the scrotal area. However, it is important to note that not all discomfort in the area is due to varicocele.

You also mentioned noticing a hard area on the left side of your scrotum that does not cause pain when pressed. This could be a number of things, including a benign condition such as an epididymal cyst or a hydrocele, which are fluid-filled sacs that can develop around the testicle. However, it is crucial to differentiate between benign conditions and more serious concerns, such as testicular tumors or torsion.

Given that you have a history of varicocele and are experiencing new symptoms, it is advisable to seek a thorough evaluation from a healthcare professional. A physical examination and possibly an ultrasound of the scrotum can help determine the nature of the hard area you are feeling and assess the varicocele's current state.
In terms of fertility, varicoceles can impact sperm production and quality, so if you are considering fatherhood in the future, discussing this with a urologist or a fertility specialist may be beneficial. They can provide guidance on whether treatment is necessary, which may include surgical options if the varicocele is deemed to be significant or symptomatic.

In summary, while varicocele can lead to discomfort and potential fertility issues, the new hard area you have noticed warrants further investigation. It is essential to consult with a healthcare provider who can perform the necessary assessments and provide you with a clear diagnosis and treatment options if needed. Remember, early intervention can often lead to better outcomes, so do not hesitate to seek medical advice.

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