In the male scrotum, there is a cord-like tissue on each side, which is composed of vas deferens, arteries, and veins. Medically, it is called the spermatic cord, and the veins in the spermatic cord are called the varicocele. It is a disease that is very threatening to male reproductive health. To avoid the troubles brought by infertility to male friends, we must first understand the symptoms and hazards of varicocele. Symptoms: 1. The patient may have no symptoms at all and the disease is only discovered during physical examination. 2. Swollen blood vessels like earthworms can be felt or seen in the scrotum, which is called "worms in a bag" in the medical field. The scrotum or testicle on the affected side has a swollen feeling or pain, and the scrotum is enlarged. When standing, the scrotum and testicle on the affected side are lower than the healthy side. Dilated and tortuous veins can be seen on the surface of the scrotum. There is a soft mass like an earthworm when touched. The symptoms are more obvious when standing for a long time or exerting force on the abdomen. Lying flat can reduce or eliminate the symptoms. Sitting for a long time will cause the local temperature of the spermatic cord to rise and cause swelling and pain. 3. Patients may have symptoms of neurasthenia, such as headache, fatigue, neurasthenia, etc. Some patients have sexual dysfunction. Varicose veins can sometimes affect fertility. 9% of people with varicocele are infertile, and 39% of male infertility is caused by varicocele. Severe cases can cause testicular atrophy. Clinically, it is found that tall and thin people are more likely to suffer from this disease. Although medicine has not confirmed the relationship between body shape and varicocele, it may be because the varicocele vein forms a right angle when returning to the left renal vein, which affects the return of blood. If elderly people are found to have varicocele, they should consider whether it is caused by a kidney tumor compressing the kidney veins. The harm of varicose veins is very serious and must not be underestimated. Let me briefly summarize the harms. harm: Varicose veins can cause local discomfort, which is manifested as swelling and pulling pain in the scrotum, which is more obvious when standing and moving, and can be relieved by lying in bed. It can also cause neurasthenia due to the patient's worry and anxiety, causing abnormal mood, fatigue, insomnia, etc. Only about one-third of patients with varicocele have the above discomfort, and most patients do not have any symptoms. The more serious harm of varicocele is not perceived by patients, and that is the impact on male fertility. According to medical statistics, about two-thirds of men with varicocele will have semen abnormalities, and a considerable part of them can lead to infertility. There are many different opinions about the reasons why varicocele causes male infertility, and there are roughly two main factors. First, due to venous blood stasis, the temperature of the testicles rises. We know that the occurrence and growth of human sperm requires a temperature below 37°C, which is also the reason why human testicles grow outside the body cavity. Varicose veins can increase the testicular temperature by an average of about 0.6°C, thus interfering with spermatogenesis. Secondly, venous blood stasis affects testicular metabolism, causing local hypoxia, metabolic waste accumulation, poisoning testicular spermatogenic cells and sperm, and inhibiting the production of male hormones - testosterone. The combined consequences of these two factors reduce the number of sperm, reduce motility, and increase abnormal sperm, thus leading to infertility. In daily life, please note: There are two points to note in daily life: 1. Don’t work too hard; if you work too hard, this phenomenon will become more serious. 2. Do not eat cold food, as it will cause you to catch a cold. Do not eat ice cream or ice cubes. 3. Get rid of bad habits such as long-term masturbation, long-term sitting, long-term standing, excessive drinking and smoking, and excessive sexual life. 4. Some medicines can play a therapeutic role. In the past, due to the emphasis on the thickening and varicose veins of the varicocele, venous ligation was performed in the scrotum in the early years. Facts have shown that the recurrence rate is very high. Now it is believed that it is caused by the back pressure of the venous blood column. Based on this theory, the high position ligation of the spermatic vein is currently adopted. |
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