The Truth About Male Infertility and the Varicocele

Male infertility is both valid research in the treatment of fertility and female infertility. In fact, in the case of couples, both partners should be tested in order to fully investigate the infertility concerns. In what is considered common problems associated with male infertility that has to do with the production of sperm, low sperm count, problems with sperm motility, erectile dysfunction, levels of hormones related dysfunction LH or testosterone or even retrograde ejaculation (where the ejaculate flows back into the bladder instead of the normal route), in some cases, warning doctors should also consider varicocele.

Varicocele refers to the expansion and dilation of the veins around the spermatic cord within the scrotum, usually on the left side. The incidence of varicocele affects approximately 15-20% of the general male population. Contrary to what some have been led to believe, the truth is that the majority of affected males are fertile when his sperm analyzed with normal sperm analyzer, however, can affect 20-40% of infertile men, if they are smokers.

Clinical features and diagnosis of varicocele

The average age of men account first varicocele is 15-25 years. Although the disease can be asymptomatic, in some cases it may be uncomfortable. This is because the affected people may experience a dull discomfort, heaviness in the scrotum may worsen during a given day, and may also have feelings of a lump or swelling in the scrotum. They are also considered as symptoms of varicocele and its submission for consideration by the doctor. Experienced clinicians also point out that the diagnosis of varicocele is where the veins are twisted or congested and sometimes described as a bag of worms. Note that men who examine the testicles, as all men must for signs of testicular cancer, a serious problem, you should always consult a doctor if there are concerns, and should never assume this Article grouping in scrotum are simply varicocele. Go for a professional diagnosis. This article, however, is varicocele, as may occur in some cases of male infertility.

The clinical diagnosis of varicocele is often done by the doctor on physical examination with the patient standing and using the Valsalva maneuver. If the diagnosis of varicocele is not yet final, the doctor may order an ultrasound of the scrotum.

Causes of varicocele

Varicocele is due to abnormal operation of valves within the veins of the scrotum, causing the blood to make and lead to inflammation and enlargement of the veins. In elderly geriatric men, this may be due to a tumor of the kidney, but it is extremely rare. Varicocele processing considerations are important in the present case with male infertility are also smokers. Since there may be cases of testicular atrophy due to the accumulation of toxins. Research has also shown that varicocele scrotum temperature increases and pressure decreases blood flow intratesticular. These results are considered eventually leads to hypoxia and the reflux of toxic metabolites of adrenal. This influenced the DNA in the sperm head. However, these studies were not conclusive because there was a significant difference between men with varicocele was fertile and infertile men with varicocele were.

The recommended treatment for varicocele in men with infertility

Firstly, in many cases varicocele, it is harmless. No other treatment may be necessary. However, there are things to do to help relieve the discomfort of varicocele, and these could include the use of special underwear, or lying when pronounced discomfort. And surgery may be considered. However, the choice of surgery should not be considered a quick and easy solution because it is not something that is recommended, except in cases where there is extreme pain due to varicocele, or when men are current smokers final two varicocele and infertility.

There were studies that showed that the effects of varicocele surgery improves sperm motility and pregnancy rates, however subsequent analyzes objective of these studies did not show the same significantly higher pregnancy rate after surgery. If surgery is to be considered among the cases described (end and among those who varicocele and infertility, which are also the pain of smokers), there are several surgical options may be considered. Namely: (a). Open an outpatient procedure under general or local anesthesia through a small incision in the groin surgery; (B). microsurgery where you can use a microscope; (C). laparoscopic surgery; This requires a general anesthesia. In addition, percutaneous embolization can also be performed if this can be done under local anesthesia, but it's actually not surgery.

Because of the research often cited, many doctors recommend surgery quite easily, however, can only be considered in cases of male infertility which varicocele is present if the male is a smoker, and take into account other factors. These other factors against due diligence by obeying the clinician should include: duration of infertility; very low sperm count and low motility (in these cases, it is unlikely that surgery improves sufficiently into account to achieve a pregnancy compared IUI or ICSI); the presence of other factors that affect female fertility (if couples) as advanced maternal age, blocked tubes, anovulation, the problem of ovarian reserve. In the presence of these problems; it is not advisable to perform surgery. In addition, varicocele not detected clinically only was diagnosed by Doppler ultrasound may be used, and has not demonstrated benefit. Finally, after surgery, if couples can not get pregnant within 6-9 months and must always be considered as IUI or ICSI.

In conclusion, varicocele is a valid condition if clinically present to be examined by the doctor in cases of infertility if some cons-indications are present and if the male is an extreme and / or pain are a smoker.