Q. Can varicocele cause infertility?

Answered by
Dr. Purushottam Sah
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 18, 2016 and last reviewed on: Nov 07, 2020

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 than my upper body. Fat sticks to thighs and buttocks, which are embarrassing to me. I have undergone total testosterone. Is my report normal? I gave sample at 12 PM. Even at that time total T value should lie in between average, but my T value falls to a lower value. Why? Is that due to small testicle? My penis size is 5 inches and girth is 4.5 inches on erection. Is this normal? Will the size of testicle reduce with age? Please clarify my doubts.



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. Serum TSH (thyroid stimulating hormone), LH (luteinizing hormone) and estradiol.
  • Testes size may change over the years, but your size is normal.

For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist

Hi doctor,

When should I give the blood sample for the mentioned tests? Is it in the morning before 7 AM?



Welcome back to icliniq.com.

  • You can give blood sample at 7 to 9 AM or 2 to 4 PM.
  • LH (luteinizing hormone) should be tested with serum, three samples taken at intervals of 30 minutes and mixed together. There is no need for empty stomach.

For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist

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