Varicocele is a common problem that affects male fertility and overall testicular health. It occurs when the veins in the scrotum get enlarged like varicose veins in legs. Varicoceles are not life threatening but can cause discomfort, poor sperm quality and even infertility. At Nisha Health Care Clinic, Dr. M.S. Siddiqui is expert in diagnosing and treating varicocele and offers best solutions for male reproductive health.

What is Varicocele?

Varicocele is an abnormal enlargement of the veins in the scrotum, specifically in the pampiniform plexus. This venous network regulates the temperature of testes which is necessary for spermatogenesis. When these veins get swollen, blood flow gets disrupted and testicular temperature increases and potentially fertility issues occur.

Causes of Varicocele

The exact cause of varicocele is not always clear but some of the contributing factors are:

• Faulty Valves in Veins: When the valves in the scrotal veins do not function properly, blood pools and causes swelling.
• Increased Abdominal Pressure: Activities that increase intra-abdominal pressure like heavy lifting or prolonged standing may contribute.
• Genetic Factors: Family history of varicose veins may increase the risk of varicocele.
• Hormonal Imbalance: Changes in testosterone levels can affect venous function and causes varicocele.

Symptoms of Varicocele

Varicocele may not always cause symptoms but some men may experience:

• Dull aching pain in scrotum especially after prolonged standing or physical activity
• Swelling or lump in scrotum
• Feeling of heaviness in testicles
• Decreased testicular size (atrophy)
• Infertility due to poor sperm production and motility

Diagnosis of Varicocele

Varicocele is usually diagnosed through:

• Physical Examination: Doctor may feel for enlarged veins while the patient is standing.
• Scrotal Ultrasound: This imaging test helps to confirm the presence and severity of varicocele.
• Semen Analysis: Sperm count, motility and morphology evaluation can determine if varicocele is affecting fertility.

Treatment Options for Varicocele

Treatment of varicocele depends on its severity and impact on fertility or discomfort. Common treatment options are:

1. Conservative Management

• Lifestyle Changes: Avoid prolonged standing, heavy lifting or straining.
• Supportive Underwear: Wear snug underwear or jockstrap for scrotal support and comfort.
• Pain Management: Over-the-counter pain relievers like ibuprofen for pain.

2. Surgical Treatment

If varicocele causes severe pain or infertility, surgery may be required. Options are:

• Varicocelectomy: Minimally invasive surgery where affected veins are tied off or removed to restore normal blood flow.
• Percutaneous Embolization: Non-surgical procedure where a catheter is used to block the problematic veins and redirect blood flow to healthy veins.

Can Varicocele Cause Infertility?

Yes, varicocele is one of the leading causes of male infertility. It can impair sperm production, reduce sperm motility, and cause DNA damage. Early diagnosis and treatment improve the chances of restoring fertility.

When to See a Doctor?

Men experiencing scrotal pain, swelling, or infertility should seek medical advice. At Nisha Health Care Clinic, Dr. M.S. Siddiqui provides expert consultation and effective treatments for varicocele to enhance reproductive health.

Visit Nisha Health Care Clinic

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