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Diagnosed with grade 1 subclinical varicoele, trying to conceive - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi,
Doctor :  
User :   Hello
Doctor :   How can I help you ?
User :   Well, I was diagnosed with a grade 1 subclinical varicoele (as I was told). My wife and I are trying to have kids... should I consider corrective surgery?
Doctor :   Varicocele do not cause infertility
Doctor :   you can proceed planning for conception
User :   Ok. I keep hearing contradicting reports on varicoeles and fertility, which is why I was confused
User :   can varicoeles progressively get worse over time?
Doctor :   since its grade 1 and subclinical , i do no think it should affect the fertility
Doctor :   yes, the condition can get worse over time
Doctor :   but sometimes its self regressing too
User :   ok that's good to hear
User :   what if I am feeling pain? I do get the odd ache that goes down to my legs, is that odd for a grade 1?
Doctor :   the association of pain in varicocele is subjective
User :   ok
Doctor :   and the pain is the indication of complicated varicocele , which is very rare possibility in grade 1
User :   what is a complicated varicocele?
Doctor :   a progressed varicocele with swollen scrotum compromising the blood supply to the testis leading to pain
User :   ah ok
Doctor :   is there anything i can help you with ?
User :   no, that was it. just more concerned with the fertility
Doctor :   proceed with attempts to concieve
Doctor :   but have a regular check up on the varicocele
User :   ok thank you
User :   hwo regualr?
User :   *how
Doctor :   monthly
User :   pretty frequent, but alright
Doctor :   as the condition can progress with changes over months , hence monthly checkup would help
User :   ok will do. thanks for your help
Doctor :   Thanks for consulting me , kinldy provide your feedback
Doctor :   kindly*
User :   for sure
Doctor :   Bye for now
Doctor :   take care
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