Impact of varicocele on male infertility

Varicocele represents a significant varicose dilation (varices) of the veins of the spermatic cord, which are located in the scrotum, above and around each testicle.
This expansion results from a malfunction of the valves present in the veins. The blood can no longer flow up the veins to reach the larger veins (the It is estimated that 15% of the male population and 4 out of 10 men who seek consultation for issues of subfertility or infertility would be affected. A direct link between varicocele and infertility is mentioned, as a probable increase in local temperature and relative hypoxia of the testicle due to venous stasis can lead to more abnormalities in spermatogenesis. It is very rare to encounter cases in children under 10 years old. However, after the age of 19, occurrences become increasingly frequent. left renal vein and the inferior vena cava).

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Main causes of varicocele:

• Venous valvular insufficiency

Normally, the testicular veins are equipped with valves that prevent blood from flowing back down.

If these valves are faulty or absent, the blood stagnates and leads to a dilation of the veins (varicocele).

• Anatomical particularity

The left spermatic vein flows perpendicularly into the left renal vein, which creates higher pressure (unlike the right one that drains directly into the inferior vena cava).

That's why varicoceles are more common on the left.

• Increase in abdominal pressure

Intense physical exertion, carrying heavy loads, chronic constipation, chronic cough (promote venous reflux).

• Congenital factors

Fragility of the venous wall or developmental abnormalities of the venous system.

• Secondary venous compression (rare, so-called secondary varicocele)

Renal tumor, abdominal mass, or ganglion that compresses the renal vein or spermatic vein.

In this case, the varicocele can appear suddenly, especially on the right side, and should raise concerns about a serious cause.
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Symptoms of varicocele

The left side is more often affected than the right (on the left side, the spermatic veins (testicular veins = gonadal veins) join the left renal vein, while on the right side they join the inferior vena cava). It is located on the left in 90% of cases due to the absence of a valve at the junction of the left spermatic vein with the left renal vein, promoting the occurrence of venous thrombosis on the left. It can be bilateral in 5% of cases, or isolated on the right in 5% of cases as well.

It is possible that at the end of a hot day, a subtle heaviness in the scrotum may be felt, or a slight testicular pain during exertion, or discomfort during sexual intercourse. Most often, the modes of revelation are multiple and the clinical diagnosis is not obvious at the beginning.

On the other hand, a varicocele at an advanced stage can increase the volume of the scrotum to the point that it causes a passive limitation of various hip movements, with pain of varying intensity, intermittent, radiating mainly to the inner thigh and responding well to usual analgesics.

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Diagnostic

If it is clinical, we will note an impulsivity of a more prominent spermatic cord upon palpation during a coughing effort, the affected testicle gives the impression of a "bag of wriggling worms." Doppler ultrasound is the preferred examination, it can highlight the slowing of blood flow at this level, indicating valvular insufficiency.

Evolution of the disease

The evolution is considered variable. Some patients will feel no discomfort. Others experience permanent or progressively omnipresent discomfort. Finally, the varicocele may only cause problems at certain times.

An influence of varicocele on fertility is discussed. It would seem, nowadays, that in the majority of cases fertility would remain normal or slightly reduced. Nevertheless, it has been noted that varicoceles treatment can in some cases allow a return to fertility. In the absence of any other cause, surgical treatment of the varicocele may be indicated to address infertility.

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Mains complications :

• Male infertility

Varicocele increases testicular temperature and disrupts sperm production.

It can cause a decrease in the number, motility, and quality of sperm (oligospermia, asthenospermia, teratospermia).

In some severe cases →azoospermia (total absence of sperm).

Testicular atrophy
The testicle on the affected side may decrease in size, lose its normal consistency, which leads to a decline in its function.

• Chronic pain

Feeling of heaviness, discomfort, or dull pain in the scrotum, especially after prolonged standing or exertion.

• Hypogonadism (rare)

A significant and prolonged varicocele can reduce testosterone production, leading to decreased libido, erectile dysfunction, or fatigue.

• Recurrence after treatment

Even after surgery or embolization, a varicocele can reappear if all the dilated veins have not been properly treated.

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Medical / surgical treatment

There is no medication that "cures" a varicocele. The treatment is mainly surgical or interventional when there is:

Confirmed male infertility,

Chronic pain,

Testicular atrophy,

Bilateral or significant varicocele.

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Main medical options:

Surgery (varicocelectomy)

Ligation and section of the dilated veins to restore good circulation.

Can be done thru open surgery, laparoscopy, or microsurgery.

Venous embolization (interventional radiology)

Introduction of a small catheter into the vein to block abnormal veins.

Minimally invasive method, quick recovery.

Pain management

Simple analgesics (paracetamol, anti-inflammatories in case of discomfort).

Wearing a scrotal suspensory (supportive underwear) to reduce heaviness.

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Technical Sheet for Varicocele Treatment Without Surgery

Presentation of the herbal tea: Treatment of Varicocele Without Surgery

Bark, powder, and root in a one-liter bottle or powder in a 50g bag for homemade bottle maceration.

Composition of the natural remedy that cures varicocele without surgery

Plant extracts

Active principles of the natural remedy that cures varicocele without surgery

Strongly astringent, vasoconstrictive, and depurative, tannins, flavonoids, etc.

Unit price of herbal tea 684: €100

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Indication for Varicocele Treatment Without Surgery

Varicocele, varicose veins in the testicles, grade 2 varicocele, male infertility caused by varicocele, grade 1 varicocele, internal hemorrhoids, grade 0 varicocele, grade 3 varicocele.

Instructions for Varicocele Treatment Without Surgery

Add mineral water or African mustard water (afitin water, soumbala water, palm wine, coconut juice, etc). Then let it macerate for 2 days. Drink a liqueur glass, 3 times a day

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The Beneficial Effects of Varicocele Treatment Without Surgery

The 684 herbal tea successfully treats and cures varicocele without resorting to surgery. It strengthens the valves or leaflets located in the veins of the spermatic cord. Thanks to these astringent elements, they tone the veins, activate circulation in the small vessels, and prevent blood from stagnating. Its depurative elements relieve the liver and facilitate the drainage of toxins. A varicocele detected in time and properly treated allows the man to regain his full fertility. Effective remedy in almost 100%.