What is Testicles?

Medically sClimaxing, one of the two egg-shaped glands inside the scrotum produces sperm and male hormones called testis.

The purpose of a man’s blue balls – In the reproductive system, the testicles are responsible for producing sperm and are also involved in the production of a hormone called testosterone. Testosterone is an important hormone during male growth and maturation for muscle development, deepening of the voice, and increased body hair.

Varicoceles –

Varicocele is an enlarged vein in the testicle, similar to varicose veins in the legs. Varicoceles usually don’t cause symptoms, but they are a common cause of low sperm production and poor sperm quality because they increase the temperature around the testicles. Varicocele development usually begins during puberty and can last for many years. Although they can cause discomfort or pain, they rarely cause symptoms or complications. A varicocele can cause poor development of a testicle, low sperm production, or other problems that can lead to infertility. To overcome these complications, surgery to treat the varicocele may be recommended.

Here given some  symptoms of a varicocele –

• The role of a scrotal mass
• Role of great feel
• Role of enlarged veins
• Role of dull or sharp pain
• Role of infertility problems

Varicocele is usually asymptomatic, but can become more visible over time. When a varicocele reaches a certain size, men may begin to experience symptoms.

What is the cause of varicocele? Let us see –

In the reproductive system, almost all men are born with the condition, but it does not manifest until puberty, when blood flow to the genitals increases. This may be due to a problem with blood flow in the spermatic cord, which carries blood to and from the testicle. If the valves inside the veins of the umbilical cord don’t work, the blood backs up and the veins dilate. The condition is relatively common, occurring in approximately 15-18% of adults.

How to diagnose varicocele –

Varicoceles rarely manifest clinically before early adolescence. It is not believed to return once it is present. The diagnosis of varicocele is an important step in the treatment process.

Here are some varicocele diagnostic methods –

Role of self-diagnosis –

In our society, many boys and men know they have a varicocele because they can feel a mass of dilated veins in the scrotum. It usually looks like a sack of worms or spaghetti.

Men may notice that the testicle on that side is smaller. Since there are many veins on the side of the varicocele, the scrotum may appear larger.

When the testicle is palpated, it is smaller than the one on the opposite side. Men may feel discomfort in that testicle or on that side of the scrotum.

Role of the doctor’s diagnosis –

A varicocele can be diagnosed during a physical exam. It is most noticeable when a man is standing up and will feel like a bag of spaghetti.

It may go away when the man lies down Valsalva technique: the doctor may ask the man to stand up (as if he were having a bowel movement). The doctor may feel a seizure when blood returns to the scrotum due to increased pressure within the abdomen.

Role of the Doppler study –

The sound of moving blood is amplified with a Doppler stethoscope. At rest, only the pulsation of the artery should be audible.

The flow of blood in the veins is so slow that venous sounds are not produced in a normal testicle. In varicocele cases, more blood rushes back into the scrotum when the man presses down, causing a grunting sound.

Role of medical devices –

Ultrasound –

Duplex ultrasound is currently considered the best non-invasive method to detect or confirm the presence of varicocele and consists of two parts. A complete ultrasound of the testicles is first performed. The diameter of the veins can be measured. Other abnormalities may be discovered. About a third of men with infertility were found to have an abnormal ultrasound that was not suspected during a physical exam.

Another part of the ultrasound evaluation is to measure the amount of blood that flows before the tube when the man pushes down. This flow of blood confirms the presence of a varicocele. This flow of blood can also be seen in color and can also be heard.

Because a varicocele can have varying degrees of severity and can affect the health of your sperm, a thorough evaluation should be done. This is a very important part of our varicocele diagnosis.

Factors to consider before treatment –

According to Dr. Hashmi, additional factors that should be considered before deciding on the therapeutic approach for varicocele in an infertile couple include: –

Surgical repair of the varicocele is recommended in cases of secondary male infertility. On the other hand, if the patient presents with primary infertility, azoospermia, small testicular size, and elevated serum FSH levels, the presence of varicocele should be ignored and surgery avoided.

Why and how does it affect male fertility?

Depending on the reproductive system, there is a link between varicoceles and infertility. The incidence of varicocele increases to 35% in infertile couples. Decreased sperm count, decreased sperm motility, and increased number of malformed sperm are related to varicocele.

Few experts believe that distended and blocked veins around the testicles, called varicoceles, cause infertility by raising the temperature in the scrotum and reducing sperm production. Abnormalities in spermatogenesis and testosterone secretion, and in the production of testicular cytokines.

In one study conducted by the World Health Organization, it was shown that men with a varicocele had lower sperm concentration and motility than men without a varicocele. Another study on healthy men in Asia also identified a decrease in sperm quality in men with varicoceles.

Here are some common side effects –

• Role of repetition
• Role of hydrocele
• Role of damage
• Role of loss of testicle
• Role of injury at the entry site
• Role of low back pain
• Role of sickness

Bottom Line – If you have a varicocele problem in your inner blue balls, it is a very serious condition; it is always a good idea to take your health seriously. Life is more enjoyable. Don’t hesitate to talk openly with your partner. There is nothing to be ashamed of, and you should talk to Hashmi Dawakhana’s top sexologist, Amroha. A sexologist can help you understand the condition, find the exact cause, and guide you toward the proper treatment. So go to a sexologist for a better assessment. Take the proper treatment and enjoy your life.