{"id":17408,"date":"2023-05-05T13:44:26","date_gmt":"2023-05-05T18:44:26","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=17408"},"modified":"2024-03-19T13:38:55","modified_gmt":"2024-03-19T18:38:55","slug":"varicocele","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/fr\/varicocele\/","title":{"rendered":"Les varicoc\u00e8les : Qu'est-ce que c'est et comment cela affecte-t-il la fertilit\u00e9 masculine ?"},"content":{"rendered":"\n

Staying up late researching varicoceles? Your worrying may turn out to be in \u201cvein\u201d (if this pun doesn\u2019t make sense, just keep reading). Varicoceles are very common, and usually require no treatment. But, for men who experience infertility, varicoceles are a frequent\u2013but treatable\u2013culprit. Here we cover when to call the doctor and what to know about treatment options like varicocelectomy. <\/p>\n\n\n\n

What is a varicocele? <\/span><\/h2>\n\n\n\n

The term varicocele comes from<\/a> \u201cvarico\u201d meaning dilated vein\u2013just like in varicose<\/em> veins, those protruding, twisted veins that sometimes form in the legs\u2013and \u201ccele\u201d meaning tumor. But a varicocele is not<\/em> a tumor. It’s what happens when the pampiniform plexus veins<\/a> inside the scrotum become swollen and enlarged. “Tumor\u201d was the historical diagnosis before our modern understanding of varicocele development. <\/p>\n\n\n\n

The exact cause of this phenomenon is not known, but several main theories<\/a> exist. The vein may become \u201ctrapped\u201d in between two other vessels and put pressure on the vein and restrict blood flow, causing enlargement [1]. Or, the valve inside the vein may not work properly, causing blood to pool in the vein (similar to the development of varicose veins in the legs) [1]. Thirdly, the vein may naturally sit at a bit of an angle that makes it harder for blood to flow out [1]. <\/p>\n\n\n\n

Varicoceles are most common in men ages 15\u201325<\/a>, likely because the testicles require more blood as they mature during puberty. Increased blood flow is hard for the vein to handle if an anatomical quirk makes it harder for the vein to properly drain. A varicocele is generally not dangerous and often goes unnoticed. But some varicoceles may feel uncomfortable when blood pressure is elevated, like in hot weather or during exercise. In rare cases, a varicocele can severely decrease testosterone levels and cause complications<\/a>.<\/p>\n\n\n\n

Varicocele diagnosis and treatment<\/span><\/h2>\n\n\n\n

Approximately 1 in 6 men have a varicocele<\/a>, so most varicoceles probably don’t impact daily life. However, 40% of men seeking treatment for infertility are diagnosed with a varicocele. A varicocele can usually be detected in a routine physical exam. Smaller varicoceles may require special imaging technology, such as ultrasound or thermography (using infrared aka thermal imaging), to detect. Varicoceles can contribute to abnormal semen (sperm plus ejaculation fluid) because the pooled blood can increase the temperature of the testes. A difference of just a few degrees can damage or kill sperm. Damaged sperm<\/a> usually demonstrate a \u201cstress pattern\u201d of low sperm count, poor motility (ability for the sperm to \u201cswim\u201d), and abnormal structure [1]. With sperm counts decreasing worldwide<\/a>, a varicocele could further contribute to a man\u2019s impaired fertility. <\/p>\n\n\n\n

Varicocelectomy Surgery<\/span><\/h3>\n\n\n\n

There are non-surgical ways to ease discomfort from a varicocele, like applying ice, taking ibuprofen, or wearing snug underwear. But if a varicocele is persistently uncomfortable or<\/em> if it is suspected to be impacting fertility, there are simple outpatient procedures<\/a> to treat the varicocele long-term and redirect blood to normally functioning veins instead. The first is microscopic varicocelectomy<\/a> (\u201c-ectomy\u201d means \u201cremoval\u201d) in which a surgeon utilizes a microscope and makes a small cut above the scrotum and ties off the affected veins, while avoiding the other structures. The procedure typically takes 2-3 hours. In a laparoscopic varicocelectomy<\/a>, the surgeon inserts a laparoscope, or small camera, to identify the affected veins and then he or she will tie off the affected veins; this procedure can be done in 30-40 minutes. <\/p>\n\n\n\n

Percutaneous embolization <\/span><\/h3>\n\n\n\n

There is also a non-surgical option called percutaneous embolization<\/a>. A catheter (small tube) is inserted into a vein through a tiny incision, using contrast dye and x-ray guidance to locate the varicocele. A small coil is then inserted into the veins that feed the varicocele to their block blood flow. Regardless of technique, recurrence is a possibility. This means the procedure may need to be repeated, or a different procedure may need to be used, especially if desired fertility has not been restored. <\/p>\n\n\n\n

Will varicocele return after varicocelectomy surgery or embolization?<\/span><\/h3>\n\n\n\n

According to a 2016 literature review<\/a>, the overall recurrence rate for the microscopic approach is about 1.05%, 4.3% for the laparoscopic approach, and 12.7% for embolization [2]. As with any surgical procedure, it is important to take the pros and cons of all the available options into account when making a treatment plan. In cases of recurrence, further procedures would only be attempted if infertility continues or if symptoms recur or persist.<\/p>\n\n\n\n

What else can be done to support male fertility?<\/span><\/h2>\n\n\n\n

Like the female reproductive system, the male reproductive system is a complex system of hormones that impact and are influenced by the other organ systems. Male infertility<\/a> can be just as complicated and difficult to deal with as female infertility. Thankfully, varicoceles are one cause of infertility that come with straightforward options that may help improve sperm count and motility.<\/p>\n\n\n\n

Healthy habits<\/a> to naturally support sperm production include: make the pelvis region a radiation-free zone (which in day-to-day life really just means keeping cell phones out of the front pockets and avoiding excess heat), maintain a healthy weight, and consume foods high in antioxidants and vitamins. just to name a few.<\/p>\n\n\n\n

Infertility<\/a> is a stressful, confusing, and painful experience for many couples. And while physical treatments can take a toll, the mental-emotional experience<\/a> of infertility can be profound. Just as varicocele treatment addresses the root cause of the issue, hopefully women\u2019s healthcare will continue to shift to an approach to infertility that effectively treats its root causes<\/a>, and supports men and women and their whole-person health.<\/p>\n\n\n\n

Resources:<\/p>\n\n\n\n[1] Leslie SW, Sajjad H, Siref LE. Varicocele. [Updated 2023 Mar 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK448113\/<\/a><\/p>\n\n\n\n[2] Rotker K, Sigman M. Recurrent varicocele. Asian J Androl. 2016 Mar-Apr;18(2):229-33. doi: 10.4103\/1008-682X.171578. PMID: 26806078; PMCID: PMC4770491.<\/p>\n\n\n\n

Additional Reading:<\/p>\n\n\n\n

Male infertility: are low sperm counts a big deal? <\/a><\/p>\n\n\n\n

Why we really need better options for treating male infertility<\/a><\/p>\n\n\n\n

Natural treatment options for male infertility<\/a><\/p>\n\n\n\n

\u201cIs infertility treatable?\u201d and other questions: A Natural Womanhood Infertility FAQ<\/a><\/p>\n\n\n\n

How FAM can help a couple with male infertility to conceive<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Vous vous \u00eates couch\u00e9 tard pour faire des recherches sur les varicoc\u00e8les ? Votre inqui\u00e9tude pourrait s'av\u00e9rer \u00eatre en \"veine\" (si ce jeu de mots n'est pas...","protected":false},"author":98,"featured_media":17409,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5368,5181],"tags":[4072,5721,5449,5483],"class_list":{"0":"post-17408","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-infertility","8":"category-reproductive-and-menstrual-disorders","9":"tag-infertility","10":"tag-male-infertility","11":"tag-mens-health-fertility","12":"tag-urology","13":"cs-entry","14":"cs-video-wrap"},"acf":[],"yoast_head":"\nVaricoceles: What are they, and how do they affect male fertility?<\/title>\n<meta name=\"description\" content=\"What is a varicocele, and how might it cause infertility in some men? 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