Q&A: Varicocele and infertility?

Varicocele and infertility?

Did your "research" happen to include seeing a doctor, being examined and obtaining referrals for a semenalysis (sperm count) and - *if* the doctor feels it appropriate - an ultrasound?

Otherwise you are wasting your time. Either you have a normal sperm count or you do not. If the count *is* normal, then you forget about varicocoeles.

Incidentally, you have two testes. Unless you have a varicocoele on both sides, it is not going to affect your fertility. Even if both sides are affected, a varicocoele does not necessarily affect fertility and any effect is *relative* - depends very much on how marked the varicocoele actually is.

Finally, there is little evidence - no doubt Google will find it for you - to say that surgery for varicocoele improves fertility.

And this is as much as you will find by asking on the "net". If you want the *full* answer, you see a competent doctor.
Male Infertility Treatment Cost - All Inclusive Medical Packages In India

Article by Pankaj S. Nagpal

Male Infertility Treatment In India

What are fertility problems?

Infertility can be defined as the failure to achieve pregnancy after regular unprotected sex (without the use of any contraception) for at least a year...

Why do men get fertility problems?

There are several causes of fertility problems in men. They include: -

* obstructive problems (blockages in sperm-carrying tubes)* testicular injury and disease* varicocele* sperm disorders * genetic disorders..

Obstructive problems

A blockage in a sperm-carrying tubes has many potential causes.

The most common are outlined below: -

* Groin surgery (including hernia repair and fixation of undescended testicles).* Trauma to the scrotum sack covering the testicles (even fairly minor sporting injuries)...

Testicular injury and disease

A blow to the testicles, which may occur in sport or during a fight, can cause swelling of the testicles, or bleeding in or around them. This probably causes the blood supply to the testicles to fail, resulting in permanent damage to the sperm production mechanism...

Varicocele

A varicocele is a dilation of the testicular veins in the spermatic cord that leads from the testicles to the abdomen. The role of this condition in causing infertility is uncertain and highly controversial. Varicoceles occur in 15-20 per cent of fertile men and 30 to 40 per cent of men with fertility problems. They can occur on either or both sides, but are far more common on the left...

Sperm disorders

Disorders of sperm numbers, movement and shape are common in men with infertility. Prolonged abstinence from ejaculation can affect sperm motility. Modern techniques can identify structural and biochemical abnormalities within the individual sperm....

Genetic disorders

Problems with chromosomes (packages of genetic material) occur in about 2 to 20 per cent of infertile men and can affect their fertility in two ways:

* chromosome disorders can affect the development of the testicles. These are usually disorders of the sex chromosomes, by far the most common being Klinefelter's syndrome. In this disorder, instead of having 46 chromosomes, including one X and one Y chromosome (46XY), the man has an additional X chromosome (47XXY).

* chromosome abnormalities can disrupt cell division and sperm production...

General medical disorders that reduce fertility

There are several conditions that may reduce fertility: -

* Fever: influenza (flu), pneumonia, or even a severe cold can cause a high fever, which will adversely affect sperm production and quality. These changes usually recover over a few weeks.* Diabetes: in the longer term, diabetes can cause problems with erection and ejaculation through causing damage to the function of the 'automatic nervous system'....

Environmental toxins and radiation

Several media reports have highlighted research studies showing that sperm counts are falling and that male fertility is declining, possibly because of environmental pollution. A similar number of studies have shown no change whatsoever, but these do not make such good headlines and often fail to be reported in the media...

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