Varicocele: Symptoms, Concerns, and Self-Treatment Options

Varicocele

During my check-up in the second year of high school, the doctor told me that I have a varicocele in my left testicle, but I don't feel any discomfort and I don't see any worm-like veins.
Recently, after masturbating, I have been experiencing nerve pain in the inner thigh, and I feel that the left epididymis is larger than before.
Aside from the soreness in my inner thigh, I don't have any other discomfort, but I'm not sure if it's just my imagination or if it's real.
Does masturbating once a day worsen the varicocele? I've heard that excessive masturbation can cause varicocele; how often is considered excessive? Is there a way to self-treat a varicocele to return it to its original state?

Mr. Lin, 20~29 year old female. Ask Date: 2022/04/09

Dr. Du Shixi reply Urology

During my check-up in the second year of high school, the doctor informed me that I have a varicocele in my left testicle, but I don't feel any discomfort and I don't see any worm-like veins.
Recently, after masturbating, I've been experiencing nerve pain in my inner thigh, and it seems that the left epididymis is larger than before.
Aside from the soreness in my inner thigh, I don't feel any other discomfort, but I'm unsure if it's just my perception or if it's real.
Does masturbating once a day worsen the varicocele? -- It could be due to blood accumulation in the veins, which might make it appear more pronounced.
I've heard that excessive masturbation can lead to varicocele; how often is considered excessive? -- Avoid straining your abdomen too much.
Is it possible to self-treat a varicocele and return it to its original state? -- It's important to be cautious in your lifestyle to prevent worsening the condition.
Once the veins are already dilated, it is not easy to revert them back.
Wishing you good health.

Reply Date: 2022/04/09

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 relatively common, particularly on the left side, and often develops during puberty. While many individuals with varicocele may not experience significant symptoms, it can sometimes lead to discomfort, fertility issues, or other complications.

Symptoms and Concerns
The symptoms of varicocele can vary from person to person. Commonly reported symptoms include:
1. Dull Pain or Discomfort: Some individuals may experience a dull ache or discomfort in the scrotum, particularly after prolonged standing or physical activity.

2. Visible Veins: In some cases, the affected veins may become prominent and resemble a "bag of worms."
3. Testicular Atrophy: There may be a noticeable difference in size between the affected and unaffected testicle.

4. Fertility Issues: Varicocele has been associated with decreased sperm production and quality, which can impact fertility.

In your case, you mentioned feeling discomfort in the inner thigh and noticing that the left epididymis seems larger. While these symptoms can be concerning, they are not uncommon in individuals with varicocele. The sensation of nerve pain in the thigh could be related to various factors, including muscle strain or nerve irritation, rather than directly linked to the varicocele itself.

Self-Treatment Options
1. Lifestyle Modifications:
- Avoid Prolonged Standing: If your job or daily activities require you to stand for long periods, take breaks to sit or lie down.

- Wear Supportive Underwear: Supportive undergarments can help alleviate discomfort by providing support to the scrotum.

- Maintain a Healthy Weight: Excess weight can increase pressure on the veins in the pelvic area, potentially worsening varicocele.

2. Exercise: Regular physical activity can improve circulation and overall vascular health. However, avoid heavy lifting or strenuous activities that may exacerbate symptoms.

3. Limit Sexual Activity: While there is no direct evidence that masturbation causes varicocele, excessive sexual activity may lead to temporary discomfort. Moderation is key; if you notice increased discomfort after frequent masturbation, consider reducing the frequency.

4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. However, consult with a healthcare provider before starting any medication.

Medical Treatment Options
If symptoms persist or worsen, or if fertility becomes a concern, it is advisable to consult a urologist. They may recommend:
- Surgical Intervention: In cases where varicocele causes significant pain or fertility issues, surgical options such as varicocelectomy may be considered. This procedure involves tying off the affected veins to redirect blood flow to healthier veins.

- Embolization: A less invasive procedure where a catheter is used to block the affected veins, reducing blood flow and alleviating symptoms.

Conclusion
In summary, while varicocele can lead to discomfort and potential fertility issues, many individuals live with the condition without significant problems. Self-management strategies, including lifestyle changes and pain management, can help alleviate symptoms. However, if you experience persistent discomfort or have concerns about fertility, seeking medical advice is essential. Regular follow-ups with a healthcare provider can help monitor the condition and determine the best course of action based on your specific symptoms and concerns.

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