WHAT IS THE LINK BETWEEN VARICOCELE AND INFERTILITY?

Many men have enlarged veins in the scrotum, which is the pouch that holds the testicles. This veins is called varicoceles. Many men with varicoceles have no symptoms, but so may have fertility issues.

Varicoceles are common, affecting 10 to 15 percent of men. Doctors continue to debate the role of varicoceles in infertility.

Some research suggests that treating a varicocele may improve fertility outcomes. However, a systematic review states that the available evidence is weak and that doctors must conduct more research.

In this article, learn more about whether a varicocele affects fertility, as well as when to see a doctor.

WHAT IS A VARICOCELE?

A varicocele occurs when a bulge results from enlarged veins inside the scrotum. The swelling typically resembles an enlargement above the testicle, without discoloration.

The pampiniform plexus is a group of veins inside the scrotum. These veins help cool the blood before it travels to the testicular artery, which supplies the testicles with blood.

If the testicles are too hot, they cannot make healthy sperm. Sperm health affects fertility, so it is essential that the veins can cool down the blood.

Most people with a varicocele do not have symptoms, but some may experience fertility issues.

When someone has a varicocele, they may also experience swelling and tenderness of the scrotum.

DO VARICOCELES CAUSE INFERTILITY?

Infertility rates among those with varicoceles, however, are higher than those without them. This difference may be because varicoceles interfere with the body’s ability to make and store sperm.

The main concern with varicoceles is that the bulge of veins may damage sperm and lower sperm count. In those individuals with an average sperm count, a varicocele is unlikely to cause infertility.

When a couple cannot conceive, it is vital to do a variety of tests, including a sperm count, and not assume that a varicocele is necessarily the sole cause.

CAUSES AND RISK FACTORS

A varicocele occurs when veins in the scrotum become enlarged.

Every vein has a valve that prevents blood from flowing backward, but sometimes the valve fails. This causes blood to flow back, damaging the vein and causing swelling.

Doctors do not fully understand what causes the valves to fail and cause varicoceles. They are common and do not usually mean that a person has an underlying health problem.

smoking may be a risk factor for varicoceles, as it damages a person’s blood vessels. The same study found no link between alcohol or occupation and varicoceles.

In many people, a varicocele has no apparent cause.

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