Varicocele

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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I am trying to get pregnant for two years. How to achieve it?

Query: Hi doctor, I have been trying to conceive for about 2 years now. My prolactin is 31.8 ng/mL, progesterone is 4.1ng/mL, not opacified left fallopian tube and no free peritoneal spillage of contrast noted. My partner has varicocele. I had a shot of progesterone. Please provide some advice on how we ca...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. It is evident from HSG (hysterosalpingogram) that you have a left tubal block and only the right tube is patent. Secondly, considering that your partner has varicocele, it is important to get his semen analysis done to check for sperm count and quality if it is adeq...  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 icliniq.com. 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 hospital last...  Read Full »

What are the common causes for upper abdominal pain?

Query: Hi doctor,I am a 40-year-old male with a weight of 81 kilograms and a height of five feet eleven inches. I am not taking any medications. I have an on and off upper abdominal pain for five months. Sometimes I have pain in my lower abdomen and pain in the groin and testicles. My overall health remain...  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Your upper abdominal pain does not occur due to a kidney stone as your ultrasound does not show any stones in your kidney or any blockages to the kidney. Your liver and gallbladder remain normal. I think that your gastric pain occurs due to gastritis or gastric ulcer. I...  Read Full »

Does varicocele affect the fertility potential?

Query: Hi doctor,I was currently diagnosed with small varicoceles via an ultrasound. I am a frequent weightlifter, and I worry that the continuation of lifting weights will lead to the varicoceles worsening and affecting my testosterone. My urologist said they are not bad enough for any surgical procedure ...  Read Full »


Dr. Ankush Jairath

Answer: Hi, Welcome back to icliniq.com. Yes, you can use scrotal support while doing weight lifting. Varicocele does not affect testosterone levels. What happens in varicocele is that there is dilatation of veins in the scrotum or testes to increase the temperature of the scrotum, and hence sperms become...  Read Full »

Is my loss of penile sensitivity due to sagging testices?

Query: Hello doctor, My testicles are hanging loosely around the penis for almost six years. Previously I consulted a doctor and had done a scan to check if any varicocele is present. I got the results, but nothing is present, and the doctor said there is nothing to worry about. But for few days, I am not...  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Thanks for consulting us. I want to assure you that loosely hanging testicles is normal and since ultrasound is normal, all well. Regarding erectile dysfunction for a fit 26-years-old without chronic problems like diabetes or hypertension is unlikely what you need to d...  Read Full »

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 hav...  Read Full »


Dr. Shahil Khant

Answer: Hi, Welcome to icliniq.com. 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 »

Please suggest if my testicle size is normal with the help of my USG report.

Query: Hi doctor, I am 23 years old. I am attaching my USG report, which I had two months before. Is my testicle size normal? Please give me correct answer as I need to go for a medical examination next month. Can I pass the medical exam? I am also attaching medical pro forma. Thank you.  Read Full »


Dr. Naresh Kumar Monigari

Answer: Hello, Welcome to icliniq.com. I had gone through all the data posted (attachment removed to protect patient identity). The size of the testicle is normal, but there is a mild hydrocele (swollen scrotum) and left side grade 1 varicocele. The pro forma you have submitted shows that they will exami...  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. Shahil Khant

Answer: Hello, Welcome to icliniq.com. 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 erection prob...  Read Full »

Can a man with varicocele get a woman pregnant?

Query: Hi doctor, I am a 23 year old male. I was diagnosed to have grade 1 varicocele. I attached USG report. Can varicocele cause infertility? From the report, kindly let me know my testicle size. Is my testicle size normal? Recently, I have been putting weight, especially my lower body increases more tha...  Read Full »


Dr. Purushottam Sah

Answer: Hi, Welcome to icliniq.com. You have insignificant varicocele and that will not affect fertility. Your testicle size is normal. Testosterone level is low normal. Penis size of more than 3.5 inches is normal. For fat in the lower body and for low testosterone you need to do the following blood tests....  Read Full »

Please suggest some treatment for testicular pain.

Query: Hello doctor, About a week ago, I started feeling some dull ache in my right testicle and the scrotum area. The pain radiates to my right leg also like cramps. It is like sore scrotum. The pain usually comes and goes, especially during riding bike, sitting in office and laying down on my sides. I do...  Read Full »


Dr. Shahil Khant

Answer: Hi, Welcome to icliniq.com. Please relax and do not worry. This pain you are getting is because of varicocele. It is a typical dragging pain, which occurs in varicocele. I suggest the following medicines. Please consult your doctor, discuss with him or her and take the medicine with consent. Tablet ...  Read Full »

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