WHAT IS A VARICOCELE?

The scrotum is a skin-covered sac that holds your testicles. It also contains the arteries and veins that deliver blood to the reproductive glands. A vein abnormality in the scrotum may result in a varicocele. A varicocele is an enlargement of the veins within the scrotum. These veins are called the pampiniform plexus.

A varicocele only occurs in the scrotum and is very similar to varicose veins that can occur in the leg. A varicocele can result in decreased sperm production and quality, which in some cases can lead to infertility. It can also shrink the testicles.

Varicoceles generally form during puberty and are more commonly found on the left side of your scrotum. The anatomy of the right and left side of your scrotum isn’t the same. Varicoceles can exist on both sides, but it’s extremely rare.

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WHAT CAUSES A VARICOCELE TO DEVELOP?

A spermatic cord holds up each testicle. The cords also contain the veins, arteries, and nerves that support these glands. In healthy veins inside the scrotum, one-way valves move the blood from the testicles to the scrotum, and then they send it back to the heart.

Sometimes the blood doesn’t move through the veins like it should and begins to pool in the vein, causing it to enlarge. A varicocele develops slowly over time.

There are no established risk factors for developing a varicocele, and the exact cause is unclear.

RECOGNIZING THE SYMPTOMS OF A VARICOCELE

You may have no symptoms associated with a varicocele. However, you might experience:

  • a lump in one of your testicles
  • swelling in your scrotum
  • visibly enlarged or twisted veins in your scrotum, which are often described as looking like a bag of worms
  • a dull, recurring pain in your scrotum
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POSSIBLE COMPLICATIONS

This condition can have an effect on fertility. Varicocele is present in 35 to 44 percent of men with primary infertility and in 45 to 81 percent of men with secondary infertility.

Primary infertility is generally used to refer to a couple that hasn’t conceived a child after at least one year of trying. Secondary infertility describes couples that have conceived at least once but aren’t able to again.

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