In fact, many men only know they have the disease when they go for infertility check-ups or reproductive health check-ups after many years of marriage without having children.
According to doctors, people with varicocele may experience heavy scrotum, dull pain in the testicle area, or notice uneven testicles on both sides. Symptoms are usually more obvious when standing for a long time, exercising, or at the end of the day. However, because the level of discomfort is not too serious, many people are subjective, self-treat, or ignore warning signs.
Master, Doctor Tang Chi Quyen, Unit of Kidney - Urology - Andrology, An Binh Hospital, said that spermatorrhea occurs when the veins around the testicles are abnormally dilated due to poor venous valve function or weakened vascular walls. This condition causes blood to stagnate for a long time around the testicles and is more common on the left due to anatomical characteristics.
It is noteworthy that the disease can directly affect male fertility. When blood stagnates around the testicles, the temperature of the scrotum increases, changing the environment that nourishes the testicles. As a result, the quantity and quality of sperm may decrease, increasing the rate of abnormal sperm. In prolonged cases, the testicles are also at risk of shrinking over time.
Signs suggesting the disease include pain or severe discomfort in the scrotum, discomfort when standing for a long time, feeling a winding venous clump above the testicles, asymmetry of testicles on both sides, or abnormalities detected when performing semen analysis.
According to Dr. Quyen, not all cases of varicocele lead to infertility. However, detection and treatment at the right time can help improve sperm quality, limit testicular damage and preserve long-term fertility. Currently, Doppler scrotal ultrasound and semen analysis are important methods to help diagnose and assess the extent of the disease.
Experts recommend that men should proactively seek medical examination when abnormalities appear in the testicles or before planning to have children for early detection and timely treatment.