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What is a Varicocele?
Varicocele, an enlargement of the veins within the scrotum, is not unlike the varicose veins that appear in the legs. It occurs in about one in six males, but unlike varicose veins in the legs, it is more common in younger males, ages 15-25. Like the leg version, varicocele is usually harmless, but not always – it can be associated with infertility problems by contributing to low sperm production and decreased sperm quality. While approximately 15 percent of men have a varicocele, among men evaluated for infertility, about 40 percent have a varicocele in at least one testicle. Surgical repair can help to restore fertility when the varicocele is the source of the problem.
Causes.
Varicoceles are believed to be caused by defective valves in the veins within the scrotum, just above the testicles. Normally, these valves regulate the flow of blood to and from the testicles. When normal flow doesn’t occur, the blood backs up, causing the veins to dilate (enlarge). This most commonly takes place during puberty, when the testicles are experiencing rapid growth and need the most blood. In about 85 percent of cases, it occurs in the left testicle area. The poor circulation caused by the varicocele results in a higher blood temperature, raising the temperature of the testes, which can serve as a barrier to sperm production and damage or destroy sperm that is created.
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