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Had protected sex, Doppler scan showed bilateral varicoceles, scrotum discomfort. What is the simple way to treat varicoceles?

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Posted on Wed, 11 Jul 2012
Question: Dear Doctor, I am male aged 28, physically quite active, play sports and work out in gyms (4 times a week) and sometime swimming say 2 times a week, i also do suryanamaskar yoga almost every day. My concern is as below, Last year i have had no of times protected (no break of condoms) vaginal intercourse with sex workers (in Europe), no anal sex or no exchange of body fluids (like blood,semen etc). I have always been normal and never had experience any thing weird, i meant any symptoms like it is generally mentioned these days on the internet, however recently i made up my mind to see a doctor and get some tests done just as a general procedure, it says anti HIV bodies 1 and 2 are negative. All blood and urine analysis are normal, liver and kidney function tests are normal. Have taken the reports to my physician who examined looking at my testis and said there is 99% of chance that i am free from any STI but he noted a weird movement of left testicles and recommended to take up a ultrasonic color doppler scan of scrotum, i recently took up this test and came to know i am having bilateral varicoceles, must say honestly till i have seen the report have not felt anything in testicles, but slowely in last few days sometime i feel some discomfort in my scrotum, i felt for the moment it is more of a mind -psychology thing however consulted my physician again who said it could be due to varicoceles. For your information this is my report, My report says i have very normal appearing testis and epididymi, no testicular calcification and no extra testicular fluid seen. Color dopppler show normal bilateral intratesticular blood flow and reflux in both XXXXXXX spermatic veins in valsalva manoeure. Please do clarify should i take any more tests in regards to STI. What is the simple way to treat varicoceles, can i take homeopathic medicines? and do simple yoga postures that support this medical condition? please advise also Will varicoceles have an effect on sexual health regards
doctor
Answered by Dr. Rajiv goel (4 hours later)
Hi,
Thanks for writing in.
It is very common to have asymptomatic varicocele. Treatment for varicocele is only required if they cause incapacitating pain or poor quality of semen. You need to get your semen analysis done.
Varicocele does not affect the sexual health in any way. The only treatment available for varicocele is either surgery or embolization. Homeopathic medicines or yoga do not help.
I do not think you need further testing for sexually transmitted infections.
Hope this helps. I will be available for follow ups.
Regards

Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Rajiv goel (11 hours later)
Dear Doctor,
Many thanks for the replies.
What is embolization? How effective is it?
How different is it from Surgery?
If i do intend to have a surgery what are the chances that the surgery is successful.
Coz i read some articles where they said surgery is not guranteed success in most of cases, is it true?
best regards
doctor
Answered by Dr. Rajiv goel (5 hours later)
Dear,

Embolization is done by expert interventional radiologist. A coil is placed into the draining vessel by radiologist and the varicocele is blocked.

The success rate of embolization as well as surgery is almost 95%. However, the pain has to be incapacitating because surgery by itself also leads to some pain.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Rajiv goel

Urologist

Practicing since :1998

Answered : 581 Questions

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Had protected sex, Doppler scan showed bilateral varicoceles, scrotum discomfort. What is the simple way to treat varicoceles?

Hi,
Thanks for writing in.
It is very common to have asymptomatic varicocele. Treatment for varicocele is only required if they cause incapacitating pain or poor quality of semen. You need to get your semen analysis done.
Varicocele does not affect the sexual health in any way. The only treatment available for varicocele is either surgery or embolization. Homeopathic medicines or yoga do not help.
I do not think you need further testing for sexually transmitted infections.
Hope this helps. I will be available for follow ups.
Regards