Varicocele: Symptoms, Risks, and Concerns Explained

Q: Varicocele: Symptoms, Risks, and Concerns Explained

Hello： This platform cannot provide diagnoses, only brief responses. <br>Is it normal for the veins to appear straight, like blood vessels? --> It should be normal. <br>Varicocele can cause significant pain in the scrotum. <br>--> A minority of individuals experience this; not ev

Varicocele

Hello doctor, I read a report stating that the likelihood of developing varicocele is quite high.
I would like to ask about my own situation: when I palpate above my testicles, I can feel areas that resemble nerves, but they don't seem twisted like the varicose veins shown online; they feel straight, similar to blood vessels.
Is this normal? Is the pain associated with varicocele very severe? What is the likelihood of this condition causing infertility? What is the chance of recovery? Also, I seem to have a small lump next to my testicle; could that be the epididymis? Is it normal to have epididymis on both sides? What bad habits can lead to varicocele? What conditions make one more susceptible to this disease? Although I don't experience much scrotal pain and don't feel discomfort after heavy exercise, I still worry about developing this condition.
Should I be concerned, or do you think if I'm not experiencing any physical discomfort, I shouldn't worry too much? Can some small blood vessels be seen on the surface of the scrotum? I can see one or two blood vessels, but they don't look like varicose veins; is that normal? (I can only see the blood vessels when I push aside the skin for a closer look; when standing relaxed, I can't see them at all.) Does varicocele only present as swelling?

Niming, 20~29 year old female. Ask Date: 2019/03/29

Dr. Du Shixi reply Urology

Hello: This platform cannot provide diagnoses, only brief responses.
Is it normal for the veins to appear straight, like blood vessels? --> It should be normal.
Varicocele can cause significant pain in the scrotum.
--> A minority of individuals experience this; not everyone with this condition faces a high risk of infertility, right? What is the chance of recovery? --> It is possible, but not guaranteed.
Some individuals may see improvement after surgery.
Also, is there a small lump next to the testicle that could be the epididymis? --> The epididymis is located above the testicle.
Is there an epididymis on both sides? --> What conditions make one more susceptible to this disease? --> It is related to body constitution and abdominal exertion.
Although I do not experience scrotal pain and do not feel discomfort after heavy lifting, I still worry about developing this condition.
--> A visit to a urologist will provide clarity.
If the doctor feels there are no significant issues, there is no need to overthink it.
--> I am very concerned, so I will see a doctor.
Can small blood vessels be seen on the surface of the scrotum? I notice one or two small vessels, but they do not appear varicose.
Is that normal? (I can only see the vessels when I push aside the skin; when standing relaxed, I cannot see them directly.) --> It is normal.
Is it true that only swollen veins indicate varicocele? --> There are varying degrees of severity.

Reply Date: 2019/03/29

More Info

Varicocele is a condition characterized by the enlargement of the veins within the scrotum, similar to varicose veins that can occur in the legs. Understanding this condition involves recognizing its symptoms, potential risks, and treatment options.

Symptoms of Varicocele
The symptoms of varicocele can vary significantly among individuals. Some may experience noticeable discomfort or pain in the scrotum, particularly after physical activity or prolonged standing. This pain can be described as a dull ache and may worsen throughout the day. However, many individuals with varicocele may not experience any symptoms at all, which can make diagnosis challenging.

In your case, you mentioned feeling areas that resemble nerves above your testicles but do not have the typical twisted appearance associated with varicose veins. It's important to note that the presence of veins in the scrotal area is normal, and they can often be felt as soft, squishy structures. Varicocele typically presents as a "bag of worms" feeling due to the engorged veins, but not all cases will exhibit this classic sign.

Risks and Concerns
One of the significant concerns associated with varicocele is its potential impact on fertility. Studies suggest that varicocele can lead to decreased sperm production and quality, which may contribute to infertility. The exact mechanism is not fully understood, but it is believed that the increased temperature in the scrotum due to impaired blood flow may affect sperm development.

Regarding your question about the likelihood of infertility due to varicocele, it is estimated that varicocele is present in about 15% of the general male population, but it is found in 30-40% of men with infertility issues. Therefore, while not all individuals with varicocele will experience fertility problems, there is a notable association.

Treatment Options
The treatment for varicocele often depends on the severity of symptoms and the impact on fertility. If the varicocele is asymptomatic and not affecting fertility, treatment may not be necessary. However, if there is significant discomfort or fertility concerns, surgical options such as varicocelectomy (the surgical removal of the affected veins) may be considered. The success rate for these procedures is generally high, with many patients experiencing relief from symptoms and improved fertility outcomes.

Contributing Factors and Lifestyle Considerations
Certain lifestyle factors may contribute to the development of varicocele. These can include prolonged standing, heavy lifting, and obesity. While there is no definitive way to prevent varicocele, maintaining a healthy weight and avoiding excessive strain may help reduce the risk.

Regarding your concerns about the small lump next to your testicle, it is likely the epididymis, which is a normal structure that stores and matures sperm. It is common to have an epididymis on both sides, and they can sometimes be felt as small, firm lumps.

Conclusion
In summary, while your concerns about varicocele are valid, it is essential to remember that not all individuals with varicocele will experience significant symptoms or fertility issues. If you are not experiencing pain or discomfort, and there are no other concerning symptoms, it may be reasonable to monitor the situation without immediate intervention. However, if you have ongoing worries or if symptoms develop, consulting a healthcare professional for a thorough evaluation and potential imaging studies, such as a Doppler ultrasound, can provide clarity and peace of mind. Regular check-ups and open communication with your doctor are key to managing your health effectively.

Similar Q&A

Understanding Varicocele: Symptoms, Concerns, and Treatment Options

Hello Doctor, I am starting my freshman year this year, but I have noticed since my first year of high school that sometimes when I go out with my family and walk for a long time, I feel a kind of swelling sensation in my left testicle, which is a bit uncomfortable. It's not...

Dr. Du Shixi reply Urology
Hello: 1) Intense exercise can inevitably exacerbate symptoms, but varicocele is caused by impaired blood flow. You might try exercising at different times and avoid prolonged sitting or standing to prevent poor venous return. 2) Many people have varicoceles, and it is perfectly ...

Understanding Varicocele: Symptoms and Concerns for Men's Health

Dr. Du previously inquired about penile vascular issues and after researching online, he discovered a condition known as varicocele. He noticed that when he exerts pressure in his abdomen, only the left testicle rises, and there is a mass above the testicle that he is unsure abou...

Dr. Du Shixi reply Urology
Hello: Varicocele is also related to vascular circulation. Due to angles and gravity, the blood vessels can become enlarged. Some individuals may experience pain, while others may not have any symptoms at all. For those without symptoms, it is advisable to avoid prolonged sitting...

Understanding Varicocele: Symptoms, Risks, and Treatment Options

During my enlistment medical examination, the examining doctor told me that I have a varicocele. I didn't have time to ask him, so could you please tell me what I should do, what potential complications or symptoms I might experience, and how it can be treated? Thank you!

Dr. Zhang Zhenxiang reply Surgery
Varicocele occurs in about 1 in 5 young males, often discovered during school or military entrance examinations, so there is no need for immediate concern. This condition primarily results from poor venous return in the internal spermatic vein, leading to blood pooling on the pos...

Managing Varicocele: Symptoms, Treatment Options, and Relief Strategies

Hello Doctor, I have been experiencing varicocele for about two years. Recently, I had an examination, and the doctor stated that "surgery is not necessary," but on that day, the varicocele was less pronounced due to the cold weather. Normally, the left side shows a sig...

Dr. Du Shixi reply Urology
Hello: Please take care of your lifestyle and avoid excessive abdominal strain for prolonged periods, as neglecting this after surgery can increase the risk of recurrence. It is advisable to have regular follow-ups at a major hospital. Wishing you good health.