The enlarged vein in the scrotum is called varicocele and is the leading cause of low sperm quality and infertility. It can cause atrophy of the affected testes.

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Why do I have consistent dull testicular pain with a stomach ache?

Query: Hi doctor, I am a 25-year-old male, and I have had a consistent dull ache in my testicles (most of the time, the left side and less of the right side) for two months from now. From time to time, it will cause stomach ache, which I know is due to the spermatic cord going up into the abdomen. I have a...  Read Full »

Dr. Khant Shahil Ramesh Bhai

Answer: Hi, Welcome to Relax, and do not worry. You are suffering from testicular orchalgia. First of all, I would like to say both your urologist treated you correctly. If there is a doubt about epididymitis, it should be treated. Now your symptoms are not getting improved means it may not ...  Read Full »

Is it possible to stay sexually active with one testis?

Query: Hi doctor, I am 31 years old. I can remember that since I was about 11, my left testicle has always been high up in my scrotum. When I look down at my genitals, I cannot see my right testicle. But, my left one is clearly visible and starts at the same position next to my penis. I understand that one...  Read Full »

Dr. Naresh Kumar M.

Answer: Hello, Welcome to I had gone through all the data you have posted (attachment removed to protect patient identity). Normally, right testis remain little higher up than the left, but in your case it is a little higher up. During the process of formation, testes are formed inside the ab...  Read Full »

Does varicocele correction improve low testosterone?

Query: Hi doctor, I am 34 years old. My height is 5'11' and weight is 90 kg. I have been facing erectile dysfunction for the past three years. I visited an andrologist and he did various tests. All are good except that my testosterone levels are low. My doctor suggested that it should be due to varicocele....  Read Full »

Dr. Ashok Kumar

Answer: Hi, Welcome to I do not think erectile dysfunction is caused by mild varicocele. In case, if it was moderate to high grade of varicocele, then we can expect a reversal of the problem on the correction of varicocele. Regarding low testosterone, varicose could be the reason. It is possib...  Read Full »

I have had two miscarriages and have an AMH level of 3.8 and my husband is suffering from varicocele and a low sperm motility issue. Should I go for IVF?

Query: Hello doctor, I had two miscarriages one year apart, five years ago. Initially, there was natural implantation but I had a miscarriage in the eighth week of my pregnancy. And, the second time I had an ectopic pregnancy. My AMH is 3.8 and my husband is suffering from low sperm motility due to varico...  Read Full »

Dr. Uzma Arqam

Answer: Hello, Welcome to I have read your query and understand your concern. An AMH (anti-mullerian hormone) level of 1.05 ng/mL is considered as low. You have an AMH level of 3.8 ng/mL , which is actually sufficient. The low sperm motility of your husband is due to the varicocele. IVF (in ...  Read Full »

I have had a swelling recurring on the right testicle for four years. Why?

Query: Hello doctor, I am a 16 year old, I have a reoccurring swollen right testicle since I was about 12 years old. Whenever my right testicle swells up, I feel a¬†tension in my lower abdomen, and it becomes difficult to perform any physical activities. Whenever my testicle is not swollen, it feels as if ...  Read Full »

Dr. Raja Ramesh

Answer: Hi, Welcome to From your history, the enlarged testicle could be due to only three possibilities which are. Congenital hydrocele Epididymo-orchitis. Varicocele. Recurrent nature and spontaneous disappearance are very classical of congenital hydrocele. When you visited ...  Read Full »

I have varicocele but it does not hurt. Is varicoceles linked to infertility?

Query: Hello doctor, I have varicocele. It does not hurt or anything, and I never actively tried to impregnate a woman. So I do not have any idea if I am producing proper sperm but are varicoceles linked to infertility? I took a home sperm test, and I saw a faint line come back positive.  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to the icliniq The varicocele is one of the cause of infertility. It can decrease sperm count. So rather than doing home test I suggest you get checked your semen analysis in nearby pathology or andrology laboratory. You can revert back with reports once done. Hope I have answer...  Read Full »

Does a mild mitral valve prolapse require a surgery?

Query: Hi doctor, I am 21 years old. I had been diagnosed with a mild mitral valve prolapse four years ago. I have been prescribed beta-blockers for the same. Last year when an echo was performed, it showed that the prolapse had reduced. But, in the last few months, due to an increased amount of activity a...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to If you have only MVP (mitral valve prolapse), and no other complication such as valve leakage, there is nothing much to worry about. Have you ever had a stroke? I want to see your current ECG (electrocardiogram) and echocardiography report to guide you properly. Rega...  Read Full »

Can testicles injury result in low testosterone levels?

Query: Hi doctor,Two months ago, I had a hit on my testicles. For first one week, I suffered with pain in the testes during erection. My erection improved after two weeks. But, in general, my erection is slightly weak. I have had a scan done and the doctor said that I have a swollen blood vessel. But, he d...  Read Full »

Dr. Khant Shahil Ramesh Bhai

Answer: Hello, Welcome to Please relax and do not worry. I think you are suffering from varicocele, dilated veins of testis. This will not be caused by trauma. A long term untreated varicocele can cause changes in your sperm parameters such as sperm count, motility, etc. Your weak e...  Read Full »

I have felt an uncomfortable swelling inside the right testicle, which has a pull-down sensation too. Are there natural ways to treat this?

Query: Hi doctor, For the past week, I have felt a weird swelling inside the right testicle. It feels uncomfortable only if I touch it. Overall after working days, I have pulled down sensations. The overall condition did not affect peeing or sex part. A week ago, I felt like it had gone, however two days l...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to This is a varicocele which is dilated veins around the testis. The cause may be primary in 90 % of the cases and secondary in 10 % of the cases. It causes a dragging sensation and heaviness in the testis. An ultrasound scan of the scrotum diagnoses it. Please do an ult...  Read Full »

Why does it hurt after a varicocele surgery?

Query: Hello doctor, I underwent varicocele surgery, which was done on the sack of the left testicle one month back. It was a 5 cm cut, and the ball was placed low. I can contract it minimally, but I do not know if it is because of the wound, the hard vein or spermatic cord in the bottom of the left testic...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to I understand your concern. This is subinguinal microscopic varicocele ligation. It is the best procedure to be done for varicocele. Actually, it should be done by cutting the skin and the spermatic facia, then exposing the spermatic cord using microscope, and veins ...  Read Full »

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