Does the varicocele in both testicules mean that a man is infertile? If no.and if the size of testicules is normal and the man havent other deseases, whats the chace after embolisation to get a baby
A varicocele is a dilatation of the group of veins scrotum. 15-20% of the healthy fertile males have varicoceles; however, 40% of infertile men may have them.
Several possible explanations of the harmful effect of varicoceles on sperm quality have been postulated, and these include the possible effects of pressure (dilated veins have a higher pressure than normal veins) , oxygen deprivation (due to abnormal blood circulation and stagnation), heat injury (blood stagnation leads to increase in local temperature of the scrotum- normally the scrotum has a lower temperature than the rest of the body), and toxins. varicoceles have been proved to play an important role in decreasing testicular function and in reducing semen quality in a large percentage of men who seek infertility treatment.
An untreated varicocele, especially when large, may on the long run lead to a drop in sperm production and even testosterone production. If an infertile male has varicoceles on both sides, both are repaired to improve sperm quality.
Indications for varicocele treatment when all of the following are present:
-A varicocele is palpable (is prominent enough to be felt by fingers on exam)
-The couple has documented infertility.
-The female has normal fertility or potentially correctable infertility.
-The male partner has one or more abnormal semen parameters or sperm function test results.
In conclusion, you need to do sperm function tests to know your fertility status. If all is normal, varicocele embolization will definitely enhance your chances of conceiving.
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