Varicoceles may occur if a malfunction of the valves of the testicular vein causes blood to pool and enlarges the veins within the scrotum, the loose bag of skin that holds the testicles. A varicocele is similar to a varicose vein that can occur in the leg. Generally, varicoceles develop over time. Approximately 15% of the male population have varicoceles.
Varicoceles are often asymptomatic and discovered when a man presents himself to be evaluated for infertility. Sometimes, the varicocele causes pain in the scrotum. If pain is experienced, it is generally mild to moderate and occurs after long periods of sitting, standing or activity. Varicoceles are not associated with erectile dysfunction or urinary issues, however, they are associated with male infertility.
The pooling of blood affects the circulation in the testes, changing the temperature and affecting the microenvironment of the testes. As a result, decreased sperm count, decreased motility and poor morphology may occur.
In some cases, a varicocele may be removed through Microscopic Varicocelectomy. Varicocelectomy involves a small microsurgical procedure in which all the swollen veins are tied off while preserving the normal blood vessels. In many patients this can result in a dramatic increase in sperm counts and motility. If you are not a candidate for Varicocelectomy, depending on the sperm count, IVF-ICSI will most likely be recommended by your physician.
To learn which treatment options are available to you, book an appointment today to discuss previous results with our physicians or to have a semen analysis completed.