Varicocele: When to Worry About Testicular Discomfort

Q: Varicocele: When to Worry About Testicular Discomfort

How is it the opposite： Hello, the left testicle is generally lower in most people. <br>If you look at many nude statues, the left testicle is noticeably lower. <br>This difference is not caused by varicocele. <br>Additionally, low temperatures can cause the cremaster muscle to c

It should be a varicocele. However..?

Hello, doctor.
I have a question to ask.
Two weeks ago, I felt discomfort in both of my testicles.
After researching online, I performed a self-examination and suspect that I have a varicocele.
I read that if there is no pain, there is no urgent need for surgery.
Upon further examination, the varicocele on the left side is quite noticeable, while the right side seems fine.
However, I noticed that in others with varicoceles, the left testicle is usually lower than the right, but in my case, it's the opposite.
Most of the time, my left testicle appears to be retracted.
Is this abnormal?

zenme xiangfan le, 30~39 year old female. Ask Date: 2010/05/12

Dr. Xu Weikai reply Urology

How is it the opposite: Hello, the left testicle is generally lower in most people.
If you look at many nude statues, the left testicle is noticeably lower.
This difference is not caused by varicocele.
Additionally, low temperatures can cause the cremaster muscle to contract, so sometimes you can check again while taking a bath to see if the left side is lower.
There are two situations in which surgery is needed for varicocele: 1.
Pain 2.
Impact on sperm.
If there are any unclear points regarding infertility, feel free to ask again, and we can discuss and research further.
This response is from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2010/05/12

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 and often occurs on the left side due to anatomical differences in venous drainage. Understanding when to worry about testicular discomfort related to varicocele is crucial for proper management and treatment.

In your case, you mentioned experiencing discomfort in both testicles for the past two weeks and suspecting varicocele based on your research. It’s important to note that while varicocele can cause discomfort, it does not always lead to severe pain or require surgical intervention. Many individuals with varicocele live without significant symptoms and may not require treatment unless they experience pain, fertility issues, or testicular atrophy.

You also noted that the left side of your scrotum appears more affected than the right, which is typical for varicocele. However, you mentioned that your left testicle tends to retract while the right one hangs lower, which is somewhat atypical. In general, it is common for the affected testicle to appear lower due to the weight of the enlarged veins, but variations in position can occur. The retraction of the left testicle could be due to several factors, including muscle tone, temperature, or even anxiety, which can cause the cremaster muscle to contract.

Here are some key points to consider regarding varicocele and when to seek further medical evaluation:
1. Symptoms: If the discomfort is mild and does not interfere with daily activities, it may not be a cause for concern. However, if you experience significant pain, swelling, or changes in the size or shape of the testicles, it is advisable to consult a healthcare provider.

2. Fertility Concerns: Varicocele can impact fertility by affecting sperm production and quality. If you are planning to conceive or have concerns about fertility, it is important to discuss this with a urologist or fertility specialist.

3. Physical Examination: A thorough physical examination by a healthcare professional can help confirm the diagnosis of varicocele. They may perform a scrotal ultrasound to assess the veins and rule out other conditions.

4. Monitoring: In many cases, varicocele can be monitored without immediate intervention. Regular follow-ups with your healthcare provider can help track any changes in symptoms or the condition of the veins.

5. Surgical Options: If varicocele is causing significant discomfort or fertility issues, surgical options such as varicocelectomy may be considered. This procedure involves ligating the affected veins to redirect blood flow and alleviate symptoms.

6. Self-Care: In the meantime, wearing supportive underwear can help alleviate discomfort. Avoiding heavy lifting and strenuous activities may also be beneficial.

In conclusion, while varicocele is a common condition that may not require immediate treatment, it is essential to monitor your symptoms and seek medical advice if you have concerns about pain, fertility, or changes in testicular appearance. A healthcare professional can provide personalized guidance based on your specific situation and help determine the best course of action.

Similar Q&A

Understanding Varicocele: Symptoms and Impact on Overall Well-being

Hello, doctor. I would like to consult you about a troubling issue I have been experiencing. 1. I often feel a sense of heaviness and discomfort at the upper edge of the left side of my scrotum and in the left abdomen (sometimes around half a palm's width to the left of my...

Dr. Du Shixi reply Urology
Hello: 1. I often feel a sense of heaviness and fullness at the upper edge of the left side of my scrotum and in the left abdomen (sometimes around half a palm's width to the left of my navel, and other times extending up to the area just above the navel near the left flan...

Understanding Varicocele: Symptoms, Concerns, and Treatment Options

Hello, doctor. Since I was in junior high school, I have occasionally experienced discomfort in my testicles after DIY activities, with a feeling of swelling and pain. Recently, after getting a girlfriend, I sometimes feel this discomfort after hugging and kissing when I get arou...

Dr. Du Shixi reply Urology
Hello: The information provided here is for reference only and cannot replace a doctor's examination. If you experience frequent pain, such as several times a week, you should seek medical attention at a hospital. There are many potential causes for pain, including issues re...

Understanding Varicocele: Symptoms, Concerns, and Treatment Options

Recently, I've been experiencing frequent sebaceous cysts on my scrotum. I consulted a doctor who said they are not a concern, but they keep appearing, sometimes on the left side and sometimes on the right. Recently, I've also been feeling some testicular pain. I resear...

Dr. Du Shixi reply Urology
Hello: Varicocele is not related to sebaceous cysts, but some individuals may experience dull pain. It can be classified into three grades. The left side is more common and usually not problematic, while the right side is less common. If a physician suspects an issue after evalua...

Understanding Varicocele: Concerns and Treatment Options for Young Men

Hello Doctor, I am 23 years old. In the second half of last year, I experienced discomfort in my left testicle and consulted a doctor. The doctor diagnosed me with varicocele after a physical examination and conducted a semen analysis, which showed a low volume of about 50 millio...

Dr. Du Shixi reply Urology
Hello: If the doctor has examined and confirmed that there is no cancer, there is no need to worry. Stage 3-4 is considered more severe, and one issue with surgery is the possibility of recurrence of varicocele (and the chance is not small), so it is better to focus on lifestyle ...