Varicocele
A varicocele is an enlarged vein in the scrotum similar to a varicose vein. It can cause aching, heaviness, or fertility problems.
Symptoms
Scrotal heaviness or dull aching, worsened with standing or activity, and fertility concerns on semen analysis.
Causes and risk
Abnormal venous drainage, most common on the left side. Risk of infertility increases with severity.
How it is evaluated
Physical exam and scrotal ultrasound are the primary tools. Semen analysis is performed when fertility is a concern.
Treatment
Treatment depends on symptoms and fertility goals. Surgical or radiological repair is considered in symptomatic or fertility-affecting cases.
When to seek care
Seek care for persistent scrotal discomfort or infertility workup.