Varicocele is a condition characterized by a decrease in sperm production as a result of enlargement of the veins in the testicular region and consequently the transfer of heat in this region.

What is the effect of varicocele on infertility?

In men, the veins take the dirty blood of the testicles (eggs). Varicocele occurs as a result of a kind of varicose veins formed in these veins returning to the heart. Varicocele is caused by the insufficiency of the valves in the veins. Varicocele, which does not affect sexual performance, occurs due to the increase in the diameter of the veins in the testicular region. The accumulation of blood as a result of increased blood flow can increase the temperature in the region and adversely affect sperm production.

Although there is no definite diagnosis that every varicocele patient will be infertile, there is usually a decrease in sperm count, structural disorders and decreased sperm motility. Although the effect of vascular enlargement seen in 1st or 2nd degree varicocele on sperm production is not very high, if it is 3rd or 4th degree, sperm production is significantly adversely affected. In this case, the enlarged veins are ligated and blood flow is prevented from accumulating in the testis area. Applications for varicocele, which can also cause pain and swelling in the testicles, are usually made as a result of not having a child despite regular intercourse.

How is the diagnosis and treatment done?

The diagnosis of varicocele, which can be detected by a manual examination by a urologist, can also be diagnosed by color Doppler sonography. After the sperm analysis, surgery is decided. If the test results are normal, there is no need for surgery. The patient can be discharged on the same day after the operation, which is microscopically applied to the groin and lasts for about 30 minutes. After the surgery, 50-60% improvement in sperm values is expected. Sperm analysis should be done 3 months after surgery.