Varicocele
Hello, Doctor Hsu.
I have an issue with varicocele (on the left side).
Last August, I felt discomfort with a crawling sensation and went to Chang Gung Memorial Hospital for an examination.
There were no significant issues, and I was not diagnosed with a hernia.
I had a semen analysis done, which showed a sperm count of 18 million, and motility and other parameters were fine.
I have a habit of jogging, and I participated in a 10-kilometer race the day before yesterday.
Recently, I've been feeling some discomfort related to the varicocele; sometimes I feel a crawling or stabbing sensation when I touch or lightly press the area, but there is no pain.
Could you please advise if running has any impact on varicocele?
DaDa, 30~39 year old female. Ask Date: 2015/03/17
Dr. Xu Wencang reply Urology
In cases of varicocele, a swollen mass of veins can be palpated, resembling a worm.
Most individuals experience a heavy discomfort, with only a few reporting a crawling sensation.
If discomfort occurs during running, wearing slightly supportive briefs can be beneficial, but they should not be too tight.
For severe varicocele that causes significant issues, surgical intervention may be considered.
Reply Date: 2015/03/17
More Info
Running and its effects on varicocele symptoms is a topic that has garnered attention in the field of urology, particularly among athletes and individuals with pre-existing conditions like varicocele. Varicocele, which is characterized by the enlargement of veins within the scrotum, can lead to discomfort and may affect fertility. Your experience of discomfort following a 10-kilometer run raises valid concerns about the relationship between physical activity and varicocele symptoms.
Firstly, it's important to understand that exercise, including running, can have both positive and negative effects on varicocele symptoms. On one hand, regular physical activity is beneficial for overall health, including improving circulation and reducing stress. However, high-impact activities or those that involve significant straining, such as running, can exacerbate symptoms in some individuals with varicocele. This is particularly true if the activity leads to increased intra-abdominal pressure, which can further engorge the already dilated veins in the scrotum.
In your case, the discomfort you are experiencing after running could be attributed to several factors. The physical exertion from running may temporarily increase blood flow and pressure in the pelvic region, potentially leading to a sensation of heaviness or discomfort in the area affected by varicocele. Additionally, the repetitive motion and impact of running could contribute to localized irritation or inflammation, which might explain the "crawling" or "stinging" sensations you describe.
It's also worth noting that individual responses to exercise can vary significantly. Some individuals with varicocele may find that moderate exercise alleviates their symptoms, while others may experience increased discomfort. If you have a history of varicocele and have noticed a correlation between your running and discomfort, it may be prudent to adjust your exercise routine. Consider incorporating lower-impact activities, such as swimming or cycling, which may provide cardiovascular benefits without placing excessive strain on the pelvic region.
If the discomfort persists or worsens, it would be advisable to consult with a urologist. They can perform a thorough evaluation, which may include a physical examination and possibly imaging studies, to assess the status of your varicocele and rule out any other underlying issues. In some cases, treatment options such as varicocele repair surgery may be considered if symptoms significantly impact your quality of life or if fertility is a concern.
In summary, while running can have benefits for overall health, it may also exacerbate symptoms of varicocele in some individuals. Monitoring your symptoms and adjusting your exercise routine accordingly is a sensible approach. If discomfort continues, seeking medical advice from a urologist will provide you with tailored recommendations and potential treatment options. Remember, maintaining open communication with your healthcare provider about your symptoms and lifestyle choices is key to managing your condition effectively.
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