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Infertility due to Varicocele, Color-flow Doppler ultrasonography, Surgical correction - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Testicle Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
User :   Hi
User :   Hi I have bilateral varicocele
User :   Hi doctor
Doctor :   Ok
User :   I just wanted some consultation
User :   Bit worried
Doctor :   What kind of symptoms and signs are you having ?
User :   No pain...slight swelling in the morning
User :   scrotal
User :   people say we become infertile in the long run
Doctor :   That is true
User :   I am only just 23
User :   any precautions I have to take
Doctor :   color-flow Doppler ultrasonography is the diagnostic method of choice
Doctor :   Was it done?
User :   No...Ultra scan was done
User :   and it is thickened spermatic cord, Bilateral varicocele R>L
Doctor :   ok
Doctor :   Reasons for surgical correction of a diagnosed variocele include relieving significant testicular discomfort or pain not responsive to routine symptomatic treatment, reducing testicular atrophy (volume
User :   But no pain is there
User :   it just started 2 weeks back
User :   just want to take steps to avoid any long-term efeects
User :   what am I supposed to do?
User :   right now I have no pain only slight swelling
User :   and that disappears after working for few mins
User :   walking
User :   yes...?
Doctor :   plz wait
Doctor :   How old are you?
User :   23
Doctor :   Are your married?
User :   no
Doctor :   So right now you have no pain , so you can mnage ceonservatively
User :   yes
User :   there is no discomfort at all
Doctor :   Infertility in males means sperm counts in semen will be low
User :   only bit worried abt long-term effects
Doctor :   yea
User :   so anything I can do to reduce long-term effects
Doctor :   No effective medical treatments for varicoceles have been identified. While some investigators are evaluating the role of antioxidants for the treatment of elevated levels of reactive oxygen species, this treatment approach is still experimental.
User :   Then what care should I take?
Doctor :   prper fitting under garments
Doctor :   *proper
User :   How will this help?
Doctor :   Varicocele are veins
Doctor :   there is pooling of blood i these veins
User :   ok
Doctor :   tight fitting garments will prevent pooling and helps to flow the blood up
User :   can I have boxer shorts
Doctor :   No
User :   wear
Doctor :   Boxer shots do not support testicles
Doctor :   they loosely sspport
User :   so it should be normal underwear
Doctor :   Yes
User :   ok
Doctor :   Take one A to Z multivitamin
User :   ok
User :   What abt Pharmed 3G
User :   absolute
User :   or any there any specific u recommend?
Doctor :   what is in Pharmed 3G ?
User :   its a multi-vitamin
User :   tablet
Doctor :   Ok
Doctor :   that is fine
User :   ok any specific brand u recommend?
Doctor :   do not do very heavy liftiing
User :   ok
Doctor :   Do not stand for long hours
User :   ok
Doctor :   I think Ultrasound has deterioined your testicular size
User :   yeah..its normal
Doctor :   So repeat the test after one yr
User :   ok...
Doctor :   compare the testicle size
User :   do u know any other alternative like homepathy or auyervedic which can help?
User :   relieve the long term effects
Doctor :   Varicocele can shrink the testicle in long run so get examined and get color Doppler and compare with the previous one
User :   what abt walking and lying down?
Doctor :   I do not have any idea abt alternative treatment options
User :   ok
User :   one question
Doctor :   ok
User :   testicles stop growing after a certain age
User :   right?
Doctor :   ok
Doctor :   y
User :   or do they grow through out life
Doctor :   they never grwo
Doctor :   * grwo
Doctor :   untill puberty they grow
Doctor :   after that they stop growing , OK
Doctor :   Do you have any questions ?
User :   Its nothing to worry right?
User :   any multi-vitamin u recommend
Doctor :   I have given informations
User :   specific brand
Doctor :   Follow the recommendations
Doctor :   A to Z is the brand
User :   ok...
Doctor :   Do you have any questions?
Doctor :   Right now on worry
User :   so I have take this indefinitely
Doctor :   consult surgeon after oneyr
User :   ok
Doctor :   Thank you for consulting
User :   last question
Doctor :   ok
User :   i have to take the multi-vitamin once every day..its ok...there is no harm in long-term if I take multi-vitamin every day right?
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