Popular Posts

Editor'S Choice - 2020

Does varicocele have a negative effect on potency

In the minds of the average person, not burdened with medical knowledge, the male body, in contrast to the female, seems to be something monolithic, unshakable. But this, unfortunately, is far from the case. The reproductive system of the stronger sex is no less fragile, it also requires a careful attitude and careful control.

Many diseases and conditions can ruin potency in the vine. Moreover, they are difficult to cure. One such condition is varicocele. How does such a pathology affect the ability to commit sexual intercourse? Does varicocele affect potency? Consider these and other issues in this article.

In medical science and practice, this question remains open. Some urologists claim that erectile dysfunction with the described pathology is secondary, i.e. develops in response to the course of the disease process. Others disprove this point of view. In their opinion, varicocele occurs later as a complication of other diseases, which in themselves have impotence as their symptom. Both points of view are rational.

The truth is that this disease can be both a direct cause of problems with potency, and a consequence of any other pathology. The effect of varicocele on potency, therefore, can be either direct or indirect.

What is varicocele

Varicocele is a varicose vein of the spermatic cord, testicles, or penis. According to medical statistics, this is one of the most common pathologies. It is equally common in both children and adults. It represents a significant danger to health in general, and reproductive well-being in particular.

The reasons for the development of the described condition

Formation factors are diverse and include:

  • The presence of tumor formations of the pelvic organs. In this case, the neoplasm compresses the blood vessels, leading to stagnation.
  • Chronic constipation. Fecal masses are also able to compress the main blood supply structures.
  • Increased abdominal pressure.
  • Mechanical pathology of the renal vein.
  • Long-standing vertical body position. Especially relevant for people professionally engaged in physical labor: cooks, builders, movers, etc.
  • Frequent cycling, horse riding.
  • Traumatic damage to the scrotum.
  • Venereal diseases.
  • The practice of masturbation with constant overflow of genital organs with blood.
  • The presence of phimosis in the anamnesis.
  • Genetic abnormalities.

The direct factor leading to the disease is a violation of the venous outflow from the anatomical structures of the pelvis and stagnation of blood.

Stages of development and clinical presentation

This is a complex complex condition. The nature and intensity of the signs depends on the stage of formation of the pathological process.

The starting point of the formation of the disease. At this stage, the disease is asymptomatic. The zero stage is characterized by a latent course. The detection of the disease occurs incidentally during a routine examination or diagnosis of other diseases. Varicocele and potency in this case are not connected in any way.

Similarly, typical symptoms are not yet available. However, the patient may notice some discomfort in the scrotum. Possible minor pain during exercise, sexual arousal.

An ailment, as they say, is in full swing.The pains become stronger, give to the lower abdomen, back, lower back. Varicocele and potency in this case are directly related. There are significant problems with erectile function. The penis retains the ability to penetrate sexual intercourse, but ejaculation occurs rapidly.

Third (final) stage

It is characterized by an increase in the intensity of symptoms. In addition to the typical manifestations of the disease, infertility is noted. A feeling of heaviness in the scrotum, a feeling of bursting and a foreign object are observed.

There are less common symptoms that are not always manifested:

  • Pollakiuria (false frequent urge to urinate).
  • Urinary incontinence.
  • The growth of the testis from the side of the lesion.

The clinical picture varies from patient to patient. It all depends on the stage and severity of the current process.

Does varicocele affect testosterone production

Urologists diagnose varicocele in men in 20-30% of cases, especially at risk are adolescents under 15 years old and men under 30 years old. Given the overwhelming percentage of male hormone excretion - over 95% - by the testes, urologists note the fundamental role of a healthy testicle in testosterone production.

Potency and hazards of the presence of varicocele:

  • local increase in temperature in the testicles,
  • the appearance of edema of the appendages,
  • increased risk of testicular dropsy.

Adverse symptoms occur in stages 3 and 4, when the varicocele of the testis is visible to the naked eye, while in the presence of stages 1 and 2, the patient can only be felt.

What threatens varicocele in the last stages? A decrease in sperm motility in sperm, accustomed to exhibiting high activity in the testes, in which the temperature is lower than in the whole body (is 33.3 degrees). Due to the increased temperature regime, asthenospermia develops - a pathological condition, manifested by a significant decrease in the number of motile spermatozoa (less than 50%).

Failure to realize conception - this is what threatens varicocele, which interferes with the natural fertilization of the egg. However, azospermia is even more dangerous, characterized by the complete absence of motile sperm - in this case, infertility should be diagnosed.

The above conditions lead to a decrease in testosterone production with varicocele and potency can also weaken. But if the patient has excretory azoospermia, characterized exclusively by impaired ejaculation patency, but maintaining the process of producing healthy sperm, it is enough to normalize the state of the veins in order to return the man to fertility.

The effect of varicocele on male potency

The disease affects the ability to have sexual intercourse only in the second or third stage. Below is how varicocele affects potency:

  • Violation of the blood supply to the penis. As a result of venous stasis, the penis lacks blood and nutrients. The cavernous bodies turn out to be insufficiently filled with blood, as a result - an erection is either unstable or completely absent.
  • Partial atrophy of the testicles occurs. The testicles are unable to sufficiently produce testosterone (a specific male sex hormone). As a result, the potency becomes weak, the libido decreases. In addition, relative infertility is formed with impaired spermatogenesis.
  • Nerve tissue is also undernourished. As a result, nerve conduction is reduced to a minimum. Excitation receptors do not conduct enough brain impulses.

Varicocele has a complex negative effect on the entire male reproductive system.

Increased testosterone after varicocele

The likelihood of a complete cure after surgery and the return of the indicators to the previous level is quite high.Testosterone does not fall into place immediately, but after some time of rehabilitation. This may require support with various drugs that would help restore normal testicular performance and increase hormone levels.

After all, after the operation, problems may arise, the body becomes weakened and testicular atrophy must be stopped additionally. These are complex cases that do not always arise, but you need to be prepared for them.

As additional medicines, those are used that enhance the production of testosterone or contain an artificial analog in their composition. These are hormonal medicines that can only be prescribed by a doctor. Self-treatment can only harm all of this, since an incorrect dosage or too little can cause complication. Only a doctor can determine the need for the use of hormonal drugs based on the analysis.

Sexual arousal with varicocele

Men who have an active sex life are worried about a possible decrease in potency associated with varicocele. Most doctors say that the quality of an erection does not suffer with varicocele, but there are some nuances. Sexual life can be overshadowed by inguinal pulling pains that occur both during the performance of everyday activities and during intimate contact. Sudden uncomfortable sensations can weaken an erection, and with a strong intensity of pain, completely eliminate its appearance for a while. Varicocele also does not change the length of the penis, but the disease can affect the mobility of a person during sex - a man may refuse to pose with a high load on the abdominal press to exclude the appearance of characteristic pains.

The effect of vein condition on the quality of erection

In the strong half of mankind, with varicocele, the weakness of the vascular wall of the cord develops and reflux appears - an incorrect process of blood movement in the organ. For these reasons, varicocele brings many complications, but most doctors reject impotence from the effects of vein expansion. Qualitatively affects the varicocele and the process of ejaculation: some patients note an increase in inguinal contractions during the release of sperm.

Laboratory tests (sperm delivery for azoospermia determination) and ultrasound examination of the scrotum organs help determine the condition of the veins by a laboratory method. After studying the results of the study, the andrologist is able to accurately confirm or reject the effect of the disease on an erection.

If azoospermia is diagnosed, then, in addition to surgery, hormonal preparations are also recommended. Varicocele is still dangerous because it distracts from other possible causes of decreased erection - prostatitis or prostate adenoma. The symptom of such diseases is the prolonged absence of a morning erection, which does not occur with the vaginal plexus of the testicle.

How to prevent potency disorder with varicocele

The potential effects on testosterone production and that varicocele affects potency have already been proven. Azoospermia or asthenospermia - this is what will happen to a man if not treated with varicocele. Given the insidiousness of the disease, a man should arm himself with preventive measures that can protect against problems with an erection. Then surgical treatment is unlikely to be needed in the future.

  • refuse to lift weights,
  • eliminate strong loads on the peritoneum,
  • have a regular sex life
  • visit a urologist once a year,
  • adjust diet to prevent constipation.

A pronounced healing effect is equally observed after the introduction of physical exercises of low or medium intensity, the refusal of overloads and the use of alcohol.Sedentary work increases the tendency for varicocele to appear, so every hour you need to leave the workplace to perform a series of simple exercises - turning the pelvis and tilting the body.

Gentle testicular massage can also prevent stagnation of blood in the abdominal cavity (the most common method is smoothing the skin folds of the scrotum, which are captured by the thumbs). The duration of the procedure for a male audience is 1-2 minutes. The penis may be in an erect condition, but this is not necessary. Sperm quality after these procedures is usually greatly improved.

According to doctors, it is difficult to treat varicocele with conservative methods, but if you adhere to a gentle regime of loads, then you can minimize the negative impact, which can lead to an aggravation of the condition.

Important: if sexual contact has become clouded by negative conditions, then you should agree to surgical intervention. Although after surgery, the patient is limited in intimate contacts (including from masturbation) for a period of 2 to 4 weeks, but then a man can enjoy high-quality sex without unpleasant sensations.

Recovery of testicular function also leads to an increase in testosterone production, as a result of azoospermia and asthenospermia gradually disappear. With stage 1 varicocele, you can live, but the danger of progressive varicocele is to move to more advanced stages, therefore, when a condition of dilated spermatic cord veins that become visible occurs, treatment correction is required.

Diagnostic measures

Diagnostics is carried out by urologists and andrologists. During the initial consultation, the doctor interviews the patient for characteristic complaints, collects a medical history (determines what ailments a person has suffered throughout his life).

At the developed stages of the pathology, enlarged and swollen veins are visible, as they say, to the naked eye. To determine the diagnosis in the early stages, it is necessary to palpate the testes. Often, testicles are excessively hyperemic, with pressure on the scrotum, the color intensity does not change.

To verify the diagnosis, it is necessary to additionally perform an ultrasound of the testicles, dopplerography of the vessels (allows you to evaluate the speed of blood flow, the nature of blood supply). In addition, you need to go through a spermogram. It makes it possible to determine the number of viable sperm, the nature of seminal fluid and juice of the prostate gland. In such an optional way infertility is additionally detected.

To summarize

A negative effect of varicocele on potency is impossible if the disease is in the initial stage of development, however, neglected cases provoke the appearance of dangerous conditions. Treatment that begins as early as possible minimizes possible harm to an erection, so if you suspect a varicocele, you need to urgently contact a urologist.

Varicocele Treatment Methods

Methods of treatment are selected by the doctor based on the severity of the pathological process. In most cases, conservative therapy is indicated.

At the zero and first stages, dynamic observation is practiced. In addition, doctors prescribe preventive measures so that the disease does not progress:

  • Any intense physical activity is excluded. Especially in a standing position.
  • The treatment of gastroenterological pathologies involving constipation and increased intestinal gas formation is indicated.
  • A complete rejection of physical activity, however, is out of the question. It is recommended to engage in light sports: swimming, walking.
  • Refusal of bad habits is shown: no alcohol, smoking, especially drugs.
  • Wearing loose underwear.
  • Pouring scrotum with cold water.

In the second stage, drug treatment is indicated.First of all, vasoconstrictor drugs are prescribed to normalize blood circulation in the pelvic area. Perhaps the use of angioprotectors.

In exceptional cases, you can not do without surgical intervention. There is a clear list of reasons for surgical treatment:

  1. The ineffectiveness of conservative therapy in the early stages of the formation of the disease.
  2. Existing infertility.
  3. Violations from the spermogram (decrease in the number of viable germ cells, etc.).
  4. Testicular abnormalities.
  5. The presence of intense pain.

In other cases, the question of surgical intervention is decided individually. Decrease in sexual function is not considered an absolute indication, however, at the request of the patient, the operation can be performed even in such a situation in order to normalize the erection.

The following operations are most effective:

  1. Microsurgical interventions with excision of pathological vascular structures.
  2. Anastomosis overlay (the affected vessels are excised, the ends of healthy blood supply structures sew together with the formation of the so-called anastomosis).

In the arsenal of medicine there are other methods. However, they are used much less frequently (methods of Palomo, Kondakova with vascular bandaging, etc.).

Possible complications of varicocele

The main and most serious consequence of the course of the disease is the development of infertility and impotence. This is due to insufficient spermatogenesis and violations of the composition of the seminal fluid. Restoring normal fertility presents considerable difficulties. Unlike the possibility of conception, libido and potency are restored almost immediately after the start of treatment.

Varicocele directly affects potency. At the advanced stages of the disease, the blood supply to the genitals is disrupted. The defeat of the reproductive system becomes complex. Fortunately, with timely and competent treatment, the problem is completely solvable.

General information about varicocele

Varicocele is a pathological change in the veins of the spermatic cord, which may be accompanied by severe pain or no symptoms at all. The disease is diagnosed in approximately 10% of all men, so it is worthwhile to carefully study the mechanism of its development and avoid provoking factors.

Most often, the disease develops during puberty, in adolescents 14-15 years old, but can also be detected in an adult male.

Pathology has several stages of development, which affect the patient's condition in different ways. At the initial stages, varicocele usually develops asymptomatically, and only a doctor discovers it during examination. Signs such as may appear a little later:

  • Scrotum pain
  • Burning sensation in the groin
  • Increased sweating in the same place
  • Pronounced testicular asymmetry
  • Discomfort while walking

With sufficient development, a man may have aching pains in the lower abdomen, the temperature in the perineum may rise, and inconvenience may occur during urination. The last stages of the disease threaten infertility and problems with potency. Here, vasodilation is noticeable to the naked eye. At first, you can detect the disease only with the Valsalva test (you must try to exhale with your mouth and nose closed, and at this time the doctor examines the scrotum and testicles).

In advanced cases, the pain syndrome worries the patient constantly. He no longer depends on whether the man was performing the load or was at rest. Pain can be felt during intercourse, so you will have to refrain from it until complete recovery.

Does the disease affect potency?

Varicocele is a disease that does not lead to life-threatening consequences or is too hindering it. Some men do not even suspect for years, they have such an ailment. However, this does not mean that you can close your eyes at it and not treat it.Without proper attention, it can lead to a decrease in potency, although it cannot do it on its own. If a man says that he lost an erection because of him, most likely another illness is hidden in the body.

But definitely accurately varicocele can affect reproductive function. This happens for many reasons. For example, an increase in body temperature due to too tight braiding with veins, and for the normal development of sperm, it should not exceed 34.5 degrees. Testicular blood circulation may be impaired, and without enough oxygen and nutrients, sperm will also not be able to fertilize. Let us consider in more detail the processes that occur in the genitourinary system in this disease.

Weak potency, flaccid penis, lack of a long erection is not a sentence for a man’s sex life, but a signal that the body needs help and male strength weakens. There are a large number of drugs that help a man gain a stable erection for sex, but all have their drawbacks and contraindications, especially if the man is already 30-40 years old. Drops of "M16" for potency not only help to get an erection HERE AND NOW, but act as a prevention and accumulation of male power, allowing the man to remain sexually active for many years.

Stages of Varicocele

The process of developing the disease is divided into 4 stages. Each has its own symptoms and degree of influence on male power:

  1. Subclinical form. No symptoms are manifested, it is possible to detect only on examination by an ultrasound device. At work, the testes do not reflect the negative impact. The subclinical stage of varicocele does not affect potency,
  2. First degree. You can diagnose it by palpation (Valsalva test) or ultrasound. Slight pain may occur. There is a malfunction of the testicles, but the erection is not yet affected,
  3. Second degree. Veins become visible during visual examination. Well felt on palpation. The patient is tormented by pain. During rest, the pain subsides, as blood flow reduces pressure on the walls of diseased vessels. Sperm quality is reduced. In this form, varicocele affects potency negatively,
  4. Third degree. A man feels pain of a constant nature. Damaged veins are clearly visible. The volume of the scrotum increases, the local temperature increases, at which the sperm die. The testicle sags from the side of inflammation. There is swelling and dysfunction of the gland. Sperm and blood tests are bad. Completely negatively affects an erection.

In some cases, symptoms of poor blood filling of the penis will be noticeable in the early stages. In others, they may be weakly expressed even with advanced pathology.

In the vast majority of cases, the first signs of the disease are diagnosed in adolescence (about 14 years), but this does not mean that in adulthood the likelihood of its occurrence is minimal. Therefore, first of all, we list the main early signs that allow us to identify the presence of a problem in a timely manner (we emphasize that, in fact, they are already the next stage of the disease, since the initial presence of symptoms is extremely unlikely):

  • non-unique, but characteristic sign - obvious asymmetry in the location of the testicles,
  • pronounced discomfort in the groin and scrotum (including those that interfere with comfortable walking) - burning, pain, increased sweating.

In the future, the disease begins to progress and regular pulling pains in the lower abdominal cavity, a feeling of heat in the perineum, intense and painful urination are added to the already mentioned symptoms. Finally, at the last stage, there is a high risk of infertility and serious problems with potency.

The initial asymptomatic stage is also called subclinical.It does not affect potency, does not lead to pathological changes and is diagnosed only by ultrasound. Next comes the first stage of the disease, at which the identification of the problem is possible not only with the help of ultrasound, but also by palpation.

At the same time, the pain syndrome is poorly expressed, the functionality of the testicles is practically not impaired. More significant changes occur in the second stage, in which the veins are clearly allocated, and the pain intensifies under load. At this stage, the negative effect of the disease on potency begins - the process of spermatogenesis undergoes changes.

And, finally, at stage 3, venous pain becomes permanent, the remaining signs become more pronounced, pathological changes become dangerous (there are well-palpable seals, the testicle is omitted and its color changes) and can lead to impotence. Of particular danger is the bilateral development of the disease up to stages 2 and 3, in which irreparable complications are possible.

Clinical manifestations with varicocele completely depend on the stage of its development. A man may suspect nothing of the presence of a disease when it is in a subclinical stage. During this period, there is no pain and visible varicose veins, but there are prerequisites for a decrease in sperm quality and there are signs indicating a decrease in fertility, which can be seen on the spermogram.

  1. At the first stage of the pathology, varicose veins can be detected during the Valsalva test.
  2. In the second stage, they are already visible under the skin in a standing position, but in a supine position - they subside.
  3. In the third stage, the veins in the lying position do not fall and remain full.

Along with this, atrophy of the testis and trophic changes in the skin of the scrotum are observed. With varicocele of the testicles, an increase in the size of the scrotum occurs.

Unilateral lesion of varicocele in the later stages leads to an increase in one side of the scrotum, and the second remains the same size. With the right-sided development of the pathology, you need to beware and check the right kidney, because such manifestations often indicate a tumor.

Bilateral varicocele provokes an increase in the size of the entire scrotum. Such a development of pathology is much less common than left-sided. There have been cases when this disease was combined with hemorrhoids and varicose veins of the penis.

Varicocele can develop at an older age if a man has an inguinal hernia. The reason for this is the mechanical factor, the severity of varicose veins and signs will depend on the impact of the hernial sac on the venous vessels and the path of the venous outflow.

Important! A man can begin to feel pulling pain in the scrotum, heaviness in the groin, already at the first stage of the development of the disease. Signs of the disease can increase during intercourse, physical activity, sports.

Conclusion

Varicocele is a disease that can be sluggish and not develop for many years. In some boys, the disease is diagnosed in the first year of life. If you control the condition, follow the doctor's recommendations, then you can never encounter potency problems that arose against the background of varicose veins of the spermatic cord.

Does varicocele affect potency: symptoms, causes, treatment

There are factors of various nature that affect the erection:

  • at the second and third degrees of development, testicular deformation is recorded. The tissue structure begins to produce testosterone in a smaller amount. A reduced level of male sex hormone directly affects the body's ability to increase and harden a member,
  • the patient may have concomitant diseases that will also negatively affect erections.Therefore, it is required to undergo a full examination and identify all pathological processes in the body,
  • with varicocele, a man experiences severe pain. If they exist, there is no desire for an act of intimacy. And during copulation, psychological disorders can occur. Also, the unaesthetic appearance of the scrotum area severely fetters the man and causes emotional discomfort. All these aspects interfere with a full sexual intercourse. As a result, even with an erection, it subsides. This causes even greater psychological trauma,
  • the fact of arousal itself can provoke pain attacks. The patient begins to evade proximity with a partner.

Varicose veins in the inguinal region scare men: the pathological condition is located directly in the genitals, so the question is urgent - does varicocele affect potency and what are the consequences of this disease for a man’s health?

Urologists diagnose varicocele in men in 20-30% of cases, especially at risk are adolescents under 15 years old and men under 30 years old. Given the overwhelming percentage of male hormone excretion - over 95% - by the testes, urologists note the fundamental role of a healthy testicle in testosterone production.

Potency and hazards of the presence of varicocele:

  • local increase in temperature in the testicles,
  • the appearance of edema of the appendages,
  • increased risk of testicular dropsy.

Adverse symptoms occur in stages 3 and 4, when the varicocele of the testis is visible to the naked eye, while in the presence of stages 1 and 2, the patient can only be felt.

What threatens varicocele in the last stages? A decrease in sperm motility in sperm, accustomed to exhibiting high activity in the testes, in which the temperature is lower than in the whole body (is 33.3 degrees). Due to the increased temperature regime, asthenospermia develops - a pathological condition, manifested by a significant decrease in the number of motile spermatozoa (less than 50%).

Failure to realize conception - this is what threatens varicocele, which interferes with the natural fertilization of the egg. However, azospermia is even more dangerous, characterized by the complete absence of motile sperm - in this case, infertility should be diagnosed.

The above conditions lead to a decrease in testosterone production with varicocele and potency can also weaken. But if the patient has excretory azoospermia, characterized exclusively by impaired ejaculation patency, but maintaining the process of producing healthy sperm, it is enough to normalize the state of the veins in order to return the man to fertility.

Men who have an active sex life are worried about a possible decrease in potency associated with varicocele. Most doctors say that the quality of an erection does not suffer with varicocele, but there are some nuances.

Sexual life can be overshadowed by inguinal pulling pains that occur both during the performance of everyday activities and during intimate contact. Sudden uncomfortable sensations can weaken an erection, and with a strong intensity of pain, completely eliminate its appearance for a while.

Varicocele also does not change the length of the penis, but the disease can affect the mobility of a person during sex - a man may refuse to pose with a high load on the abdominal press to exclude the appearance of characteristic pains.

In the strong half of mankind, with varicocele, the weakness of the vascular wall of the cord develops and reflux appears - an incorrect process of blood movement in the organ.

For these reasons, varicocele brings many complications, but most doctors reject impotence from the effects of vein expansion.

Qualitatively affects the varicocele and the process of ejaculation: some patients note an increase in inguinal contractions during the release of sperm.

Laboratory tests (sperm delivery for azoospermia determination) and ultrasound examination of the scrotum organs help determine the condition of the veins by a laboratory method. After studying the results of the study, the andrologist is able to accurately confirm or reject the effect of the disease on an erection.

If azoospermia is diagnosed, then, in addition to surgery, hormonal preparations are also recommended. Varicocele is still dangerous because it distracts from other possible causes of decreased erection - prostatitis or prostate adenoma. The symptom of such diseases is the prolonged absence of a morning erection, which does not occur with the vaginal plexus of the testicle.

The potential effects on testosterone production and that varicocele affects potency have already been proven. Azoospermia or asthenospermia - this is what will happen to a man if not treated with varicocele. Given the insidiousness of the disease, a man should arm himself with preventive measures that can protect against problems with an erection. Then surgical treatment is unlikely to be needed in the future.

  • refuse to lift weights,
  • eliminate strong loads on the peritoneum,
  • have a regular sex life
  • visit a urologist once a year,
  • adjust diet to prevent constipation.

A pronounced healing effect is equally observed after the introduction of physical exercises of low or medium intensity, the refusal of overloads and the use of alcohol. Sedentary work increases the tendency for varicocele to appear, so every hour you need to leave the workplace to perform a series of simple exercises - turning the pelvis and tilting the body.

Gentle testicular massage can also prevent stagnation of blood in the abdominal cavity (the most common method is smoothing the skin folds of the scrotum, which are captured by the thumbs).

The duration of the procedure for a male audience is 1-2 minutes. The penis may be in an erect condition, but this is not necessary.

Sperm quality after these procedures is usually greatly improved.

According to doctors, it is difficult to treat varicocele with conservative methods, but if you adhere to a gentle regime of loads, then you can minimize the negative impact, which can lead to an aggravation of the condition.

Important: if sexual contact has become clouded by negative conditions, then you should agree to surgical intervention. Although after surgery, the patient is limited in intimate contacts (including from masturbation) for a period of 2 to 4 weeks, but then a man can enjoy high-quality sex without unpleasant sensations.

Recovery of testicular function also leads to an increase in testosterone production, as a result of azoospermia and asthenospermia gradually disappear.

With stage 1 varicocele, you can live, but the danger of progressive varicocele is to move to more advanced stages, therefore, when a condition of dilated spermatic cord veins that become visible occurs, treatment correction is required.

Varicocele: what is it?

Varicocele is a disease that does not have a serious impact on the life of a man as a whole and does not lead to dangerous consequences. Many males are unaware of the presence of pathology for a long time.

However, remembering a possible ailment, undergoing examination and starting treatment with positive results is necessary: ​​the effect of varicocele on male strength, although indirect, but negative. A neglected disease is provoked by complications causing erectile dysfunction.

In addition, pathology negatively affects male fertility. This is due to circulatory disorders in the testes and worsening spermatogenesis.

With disease, the veins located in the spermatic cords change.In some men, this causes pain, in others it is asymptomatic. At risk are adolescents.

The flow goes through several stages. The first has no pronounced clinical signs. The negative impact of the later stages is enhanced, in addition, it is accompanied by a number of characteristic symptoms:

  • Burning and increased sweat in the groin,
  • Testicular asymmetry
  • Pain in the scrotum
  • Unpleasant sensations when walking.

In the future, pains appear in the lower abdomen, which are aching in nature, as well as local hyperthermia and difficulties with urine excretion. It is the neglected form that negatively affects the ability to fertilize and the potency of a man. In addition, at the time of intercourse, the pain intensifies, and you have to give up proximity for this reason.

Together with varicocele, other vein pathologies can also develop. Among them:

  • Hemorrhoids,
  • Varicose veins in the pelvic area.

These diseases in the complex adversely affect men's health and erection.

How does it affect potency?

Medical data indicate that varicocele in men affects potency only in the last, 4 stage. However, the disease triggers processes in the body that indirectly affect sexual viability.

These problems arise with a running form of pathology. In the initial stages, there is no relationship with potency, although a man's ability to conceive may decrease.

How to neutralize the harmful effects?

Despite the fact that varicocele and potency are not always directly related, the effect of the former on testosterone levels affects the latter. Erectile function suffers from a lack of androgens, which is why doctors recommend:

  • Exclude lifting and carrying weights,
  • Make a diet high in zinc,
  • Refuse increased press loads,
  • Lead a regular intimate life.

These recommendations will help to maintain erectile function, provided timely and adequate treatment. Also, these measures in combination with regular monitoring by a urologist will help reduce the likelihood of developing an ailment.

At the stage of treatment of venous pathology, it is possible to reduce its effect on erectile function with the help of:

According to doctors, varicocele is difficult to conservative therapy, but the above recommendations neutralize the harmful effects of the disease and inhibit its development at an early stage. In the second stage, in some cases, medication also helps.

The neglected form is characterized by a blue testicle and the presence of seals. Tissues lack nutrients and oxygen. Rapidly increases the risk of necrosis, therefore, to restore potency in this case, an emergency operation is necessary, during which the affected testicle is completely amputated.

Potency after varicocele surgery: what happens to it?

The length of time it takes for the potency to recover after surgery depends on many factors. First of all, the method and nature of the surgical intervention affects the speed of rehabilitation, in particular, whether only the veins have undergone surgery, or the testicle has been manipulated.

Also affects the level of erection:

  • The severity of pain
  • Selected type of anesthesia
  • Rehabilitation Methods.

The main forms of surgical intervention:

  • Bandaging the veins. Minimally invasive procedure, in which the patient spends 1 day in a hospital. A cold compress is needed during the day, you can return to your usual sex life in a short time,
  • Embolization. Catheter manipulation. The absence of a cut and sutures ensures a quick restoration of normal health and potency,
  • Microsurgical revascularization. It restores blood flow instantly, but it is necessary to wait until the stitches are removed,
  • Laparoscopy. It involves the removal of the ovarian vein. Rehabilitation takes a month.

Acceleration of the restoration of potency after surgery is achieved by the appointment of drugs. It:

  • Blood thinners
  • Phlebotonics, strengthening the walls of blood vessels,
  • Anti-inflammatory drugs
  • Corticosteroids, which have an analgesic effect and a positive effect on metabolism.

Is it possible to do without surgical intervention?

Surgery can be dispensed with if the varicocele is in the first stage. Doctors prescribe venotonics, which inhibit the development of the disease. At the second stage, the decision on the operation is made in each case separately. Conservative treatment sometimes helps, but severe pain is an indication for surgery.

An advanced disease can only be treated surgically. Without appropriate intervention, complications develop, including a total decrease in potency and infertility.

Reviews

Varicocele is a disease that a significant percentage of men experience, so on forums and portals you can find reviews and discussion of the forms of treatment for this disease, as well as its effect on potency.

Maxim, 25 years old: “They put me on my varicocele at the age of 15, prescribed some medications, but as a youth I didn’t take them, hoping it would cost. For a long time, the disease did not make itself felt, but the year began to feel severe discomfort in the scrotum. It especially manifested itself during sex.

Unconsciously, he began to avoid intimacy, then realized that he was no longer pulling. Then he got scared and went to the doctor. It turned out that in almost 10 years the disease progressed, they advised surgery. I doubted for a long time, but then decided on embolization.

Everything went quickly, nothing else bothers and the potency returned to normal after 2 months. "

Victor, 39 years old: “I knew about varicocele, but believed that this disease overtakes in youth, so I felt safe. However, at the last appointment with the urologist, the doctor sent for additional examinations and made a diagnosis.

I did not suspect about the disease, and attributed a certain decrease in libido to age and nervous work. He was operated on successfully, for a long time in the hospital did not have to lie. After the operation, I realized that in bed I became more cheerful and more active, but not without some effort of course.

For about a month I took tincture of ginger, then switched to the Thor's Hammer course (natural drops for potency). In general, all this gave a result.

Does varicocele affect potency in men, methods of eliminating the problem

Varicocele is a pathology of the male reproductive system. This is an abnormal condition of the spermatic cord veins. The onset of the disease is asymptomatic and develops mainly in adolescence.

Progressive varicose veins are easily determined by a doctor during a visual examination.

In the process of the development of anomalies, pain and psychological problems arise, as well as other disorders that can lead to impotence and loss of reproductive function.

Features of the effect of varicocele on male potency

This disease, in addition to a direct effect on potency, provokes the development of concomitant diagnoses. Most often, prostatitis occurs.

Many men want to know if varicocele affects potency. According to the studies of andrologists, it is believed that the issue of infertility is not worth it, but the disease has a direct effect on erection.

The course of the disease is accompanied by pain during intimacy, which brings the man psychological discomfort with the development of impotence.

Deterioration of the blood supply to the testis causes hypoxia over time, which can lead to tissue death - necrosis.

Many urologists believe that varicocele and potency in men are not directly interconnected, but indirectly. With the course of the disease, overgrown with additional pathologies and psychological uncertainty, the patient feels problems with an erection.

Testosterone production

The adrenal glands and testicles are responsible for the production of the hormone. The lion's share of testosterone (95%) is produced in the testes.When a varicocele occurs through the dilated veins, a greater amount of blood enriched with the hormone enters and the testes reduce its production.

With a prolonged violation, spermatogenesis fails, when the number of sperm and their motility decreases. All this reduces the likelihood of fertilization of female eggs.

Erection quality

In the presence of testicular varicosity, urologists consider this diagnosis to be a cause of worsening erection. During this process necessary for the male body, nutrients and oxygen enter the genitals. In the case of anomaly, stagnation of blood and the occurrence of chronic prostatitis on this background are possible.

Three emerging issues are considered:

  1. Pain during intercourse.
  2. The period of erection during intercourse is sharply reduced.
  3. Spermatogenesis is impaired.

In case of failure of erectile function, changes occur in the entire reproductive system of men, which complicates conception.

Sexual feelings

At first glance, testicular varicosity and potency, as well as sexual desire in men, are not related. But the body is a single whole, especially in delicate reproductive functions.

Sexual attraction in men induces the nervous system to act, by increasing the adrenaline in the blood. Pulses of the brain reach the nerve roots of the penis - an erection appears. The blood flow in the organ increases. In the presence of affected varicocele veins in men, a strong pain syndrome occurs.

Treatment of sexual impotence with varicocele

The problem with such a diagnosis is that it cannot be cured by therapeutic methods and traditional medicine. Medications can stop the development of the disease, prevent serious conditions. You can get rid of the diagnosis with surgery. After this, the potency is restored for several months.

Surgical therapy can be of a different nature from the process of ligation of veins to varicocelectomy.

Modern medicine recommends the following types of operations for varicocele:

  • Endovascular surgery with x-ray control - performed by a puncture over a vein and lasts up to 3 hours under local anesthesia and x-ray irradiation, which guarantees a quick recovery of disability.
  • Endoscopic intravascular intervention - does not require a wide incision and is performed under general anesthesia.
  • An open operation according to Ivanissevich, requires an incision of about 5 cm and is performed under local anesthesia.

However, it is necessary to refrain from sexual activity for the entire period of rehabilitation. The recovery period after microsurgical methods lasts 1-2 weeks, and when using the Ivanissevich technique, it takes much longer (up to six months). In total, in medical practice, there are more than 120 types of operations to get rid of varicocele. The approach to the selection of methods is individual.

Spermatogenesis

There is no direct relationship between a decrease in sperm quality and quantity of sperm and varicocele. But the disease causes some phenomena that lead to infertility. These include:

  1. Force the immune system to produce sperm-killing antibodies
  2. Toxic substances enter the testicle from the adrenal glands that interfere with its activity.
  3. The nerve endings connecting the scrotum to the pituitary gland and hypothalamus are disrupted

Excessive physical exertion or prolonged upright position can provoke infertility in pathology, as this creates additional pressure on the abdominal region and causes venous hypertension. When the blood flow slows down, the genitals begin to experience oxygen starvation, which can lead to tissue atrophy, and the testes will also not be able to produce sperm normally.

Erectile function

The negative effect of varicocele on an erection is considered by many to be a myth, and this is so.However, it is impossible to say that there is no impact at all. The development of the disease, the presence of concomitant diseases plays its role here. Violation of blood supply may affect the ability to have sexual intercourse. Due to venous stagnation, not only the testicles, but also the penis stop receiving enough blood. As a result, an erection becomes either inferior or completely absent.

The impact can be completely indirect, when experiences at the expense of sexual viability and recovery, an unaesthetic type of scrotum affect the man’s concentration and attraction. Quite rarely, pain becomes an obstacle to erectile function. However, it is she who most of all negates all efforts, reduces arousal and pleasure from sex.

Hormonal background

Varicocele affects the synthesis of testosterone, thereby further reducing the potency and libido in men. The hormone is “produced” in the adrenal glands and testicles. When the ovarian vein expands too much, blood from the adrenal glands begins to flow into it. The body understands that the concentration of testosterone in the blood is very high (after all, hormone-saturated blood from the gland has just got into it), and reduces its production. At the same time, it also reduces sperm synthesis.

The longer these processes continue, the more difficult it will be to return the testes to their normal functioning. A lack of testosterone will lead to a lack of sex drive, poor health, and weakening potency. A man will have frequent mood swings, and his body may begin to be rebuilt according to the female type. Because of this, the testicles themselves will decrease in size, even false urge to urinate can appear.

Causes of Eretilic Function Problems

If a person knows what causes the varicocele to appear and how this will affect potency, he will be able to avoid both illness and problems in bed. The disease is divided into primary and secondary. The development of the primary is associated with a hereditary predisposition to the underdevelopment of the valve system (veins cannot hold blood from the return outflow) or congenital absence of valves in the vessels. The secondary form occurs as a result of a disease or disorder in the body:

  • Pathology of the Renal Veins
  • Malignant neoplasms in the abdominal region, pelvis
  • Scrotum injury
  • Inflammatory diseases in the pelvic organs
  • Diabetes
  • Phlebeurysm
  • Sexually transmitted diseases

A common cause of varicose veins in the spermatic cord is an increase in intra-abdominal pressure. This can happen due to heavy loads, prolonged constipation. Provoking factors that can accelerate the development of varicocele and adversely affect potency include standing work, being overweight, and prolonged abstinence from sexual intercourse combined with overcrowding in the lower half of the body.

El Macho for potency

El-Macho is a multicomplex highly effective due to its active components. His study showed the absence of side effects and a high rate of assimilation, which leads to an instant effect.

El Macho Drops contains guarana extract, L-arginine, glycine and magnesium - substances to relieve tension, improve blood circulation in the pelvis, and increase blood flow to the penis. The drug is suitable for patients of all ages.

Surgical intervention can also cause a disease when, after damage to a vein, scar tissue forms on it and interferes with the normal flow of blood.

Inflammatory processes in the genitals can also go to the testicles. In this case, the vessels themselves become inflamed, expand, there is a risk of thrombosis. The cause of a decrease in the lumen of the veins can be an excess of the vessel.

How to get rid of impotence?

Treatment of varicocele consists in stopping the growth of varicose veins, as well as removing them, if the condition of the patient requires it. The first item is carried out due to drug therapy, proper nutrition, reduction of physical activity. However, it will be most effective to completely get rid of deformed vessels so that there is no risk of their further change. Modern surgical methods are safe and associated with the most minimal risks. The main forms of surgical intervention are:

  1. Vein dressing
  2. Embolization
  3. Microsurgical revascularization
  4. Laparoscopy

Consider these techniques in more detail. When bandaging the affected vessels, they are separated from the main bloodstream, blood is pumped out of them, and then bandaged. Thus, blood begins to flow through healthy veins, and deformed ones turn into connective tissue. Among the advantages of the procedure is a small section of the incision, so that the patient can be discharged on the same day. He will only need to apply a cold compress to the scrotum during the day. The disadvantage of dressing is a high probability of a relapse of the disease, which is due to the fact that blood circulation sooner or later will still return to its previous course.

Embolization with varicocele is also used to change blood flow, it is largely similar to the previous treatment method. However, other advantages can be called:

  • Lack of cuts and seams
  • Need only local anesthesia
  • High efficiency
  • Low risk of relapse
  • Short rehabilitation period

A catheter is inserted into a vein through a small puncture, through its internal opening a special spiral is left in it, blocking blood circulation. The whole procedure takes no more than half an hour.

Microsurgical revascularization consists in moving the epigastric vein to the site of the expanded ovarian. Thus, it is possible to achieve instant restoration of blood circulation in full, as before the pathology. Here the probability of her return is minimal. Rehabilitation lasts about 2 weeks, as the patient needs to wait for the seams to be removed. After this, you need to visit the doctor for another six months for a scheduled checkup.

Laparoscopy is a minimally invasive technique for treating varicocele, during which the surgeon does not use a scalpel. It is used for obese men, as well as for patients with inguinal hernia. For the procedure, it is necessary to prepare the intestines, the previous evening and in the morning in front of her, making a cleansing enema. The man is injected with general anesthesia, after which three laparoscopic ports are installed (through punctures in the abdomen). The doctor finds the ovarian vein, compresses it with rings, and then removes it.

A few hours after laparoscopy, you can not drink and eat. In the hospital, the patient spends about 2-4 weeks. The duration of the operation itself is no more than 1 hour. To consolidate the effect after any surgical intervention, the attending physician prescribes tablets. They allow potency to return faster and protect against relapse. Both external agents (ointments and gels) and preparations for internal use are used. They are represented by:

  1. Phlebotonics (strengthen blood vessels, increase the tone and elasticity of their walls, protect against blood clots). Troxevasin, Phlebodia, Lyoton Gel
  2. Hemostatic drugs. Heparin ointment, Venitan, Trental
  3. Nonsteroidal anti-inflammatory drugs (reduce pain, relieve inflammation). Nise, Ketonal
  4. Corticosteroids (suppress inflammatory processes, help metabolism, anesthetize). Prednisolone, Kenalog, Medrol

Make it a rule, every day from the morning, first thing to start.

The decision about whether to use only medications or decide on surgery should be a doctor. Only he can assess the severity of the disease and help maintain reproductive function and potency.

To learn more about the effect of varicocele on potency, we recommend watching a video of the popular program. Recognized doctors understand the problem in detail and talk about the disease simply and clearly.

Prevention

In order not to experience any problems with potency, it is necessary to comply with the rules for the prevention of genitourinary diseases, including varicocele. For this, men, especially adolescents, need to be examined annually by a urologist in order to notice the initial signs of the disease in time. Excessive stress and stool problems should be avoided. Refusal of bad habits and playing sports will be useful.

To avoid varicocele, a man needs to have sex regularly. This will reduce the number of congestion and maintain blood vessels in good condition. The presence of at least 2-3 acts per week is considered useful.

Be sure to control the pressure and weight. Both factors negatively affect the circulatory system, create an increased load for it. During work, try to move more, change position. If the doctor considers it necessary, take pills that will prevent the development of varicocele or prevent it from progressing.

WHO SAID THAT TO INCREASE A MEMBER, TO EXTEND A SEX, TO STRENGTHEN AN ERECTION IS DIFFICULT?

  • Incredible ... You can increase the penis by 3-4 cm, extend the first sexual intercourse up to 30-40 minutes, give an anatomically correct shape and enhance the sensitivity of the penis at any age and forever!
  • This time.
  • Without taking pills, surgeries, injections and other surgical procedures!
  • These are two.
  • In just a month!
  • These are three.

Causes of the disease

Varicocele can occur in men for various reasons. The following factors are distinguished that affect the pathology of the inguinal vessels:

  • Violation of the elasticity of the veins due to diabetes,
  • Injury to the scrotum or abdomen
  • Surgical intervention,
  • The inflammatory process in the testes.

A frequent concomitant disease that affects the development of varicocele is diabetes. With this disease, there is a violation of the elasticity of the vessels of peripheral organs.

The walls of the veins become brittle and brittle. The process affects the functioning of the venous valves. Many diabetics have stage 1-2 varicocele. The treatment of pathology must be done in conjunction with an endocrinologist.

You cannot fix the problem yourself.

Injury to the abdominal cavity or scrotum involves compression of the veins in individual areas. There are no visible signs and symptoms in a man. Pathology develops gradually. To avoid such a phenomenon, you must immediately visit a specialist. Squeezed areas can be detected by ultrasound.

Sometimes a patient has varicocele due to surgical intervention in the genitourinary system. During surgery, injury to the venous bundle may occur. Scar tissue forms on the damaged area. It prevents the return of blood to the inguinal vein. In this case, additional operational measures are taken.

A problem may also occur with the inflammatory process of the genitourinary system. The process affects neighboring organs and tissues. This problem is eliminated with the medical treatment of the cause. In some patients, varicocele persists even after a course of therapy.

Symptoms are accompanied by the second and third stage of varicocele. A man has signs such as:

  • Sore scrotum,
  • Discomfort when urinating,
  • Violation of sexual life.

Scrotal soreness is a symptom of a dangerous complication. The remaining symptoms appear to a small extent. The main problem for men is a violation of sexual life.

Pathology does not affect the process of erection itself, but is a consequence of the pain syndrome.When sperm passes through the vas deferens, a man experiences unpleasant sensations.

If such moments arise systematically, the man begins to avoid sexual intercourse. Sexual life becomes irregular.

If it is not detected during ultrasound, then dopplerography is used. This method is used to detect vascular obstruction. A special fluid is launched into the vein bed, which is clearly visible on the screen.

The area where the fluid stops or does not pass well is affected by a varicocele.

Additionally, a patient is tested for inflammation. Also, fluid is studied for hormonal changes. After detecting a damaged vein, the doctor prescribes a therapeutic effect.

The effect of the disease on erectile function

As for the effect of pathology on potency, there are no special reasons for concern. An erection occurs during the flow of blood to the cavernous bodies of the penis. This process is not related to the venous system of the testes. Therefore, varicocele and potency are incompatible until a certain point. Sexual activity may weaken after complications of the disease. So, a consequence of venous stasis is prostatitis, which, in turn, reduces erectile function.

Some patients are interested in how varicocele affects the potency of postoperative treatment. Surgery does not affect a man’s erectile function. If after passing the therapy the patient has problems with potency, it is recommended to undergo a full examination of the body, donate blood for analysis, and exclude factors that may cause impotence.

Erection problems

Sometimes a malfunction of the testes can cause a decrease in testosterone levels. Deficiency of male hormone adversely affects potency and sexual desire. Similar cases can occur if the disease is severely neglected.

In rare cases, a man who has been diagnosed with varicocele begins to constantly think about the disease, problems with an erection. Then there is self-hypnosis at the subconscious level, and the patient, indeed, may experience difficulties with sexual activity.

Varicocele can reduce an erection only in a single case. Sometimes during sexual contact in the scrotum, sharp pain is felt, and it becomes difficult for a man to control himself, it is not always possible to give pleasure to himself and the woman.

Causes of weak potency with varicocele

If the effect of varicocele on potency is absent, the cause of the problem with sexual activity must be sought in other diseases. If a man, in addition to the expansion of veins, has secondary pathologies, then problems with potency can be associated with them, and not with varicocele. Perhaps he abuses alcohol, is obese or hypertensive, often overworked.

There can be many reasons for erectile dysfunction.This includes the following factors: hormonal failure, diseases of the genitourinary system, inflammatory processes, diabetes mellitus, psychological problems, injuries and tumors, vascular diseases, taking antidepressants, neurotic disorders, herniated disc, osteochondrosis spine, prostatitis.

Such phenomena cause stagnation of blood and seminal fluid, which provokes a decrease in sexual activity. Varicocele and potency in this case are not connected in any way. Particular attention should be paid to the presence of a morning erection. If it is not, the man most likely has serious disturbances in the body.

Regardless of the fact that varicose veins of the testicles can in no way affect erectile function, it must be treated. This will help get rid of pain in the groin area, eliminate the risk of developing other pathologies and make it possible to conceive a child.Do not forget about preventive measures, which include good rest and proper nutrition, rejection of bad habits, intake of vitamin complexes and moderate physical activity.

The effect of varicocele on potency can be direct and indirect.

Varicocele is a pathological change in the veins of the spermatic cord. Violation may not have symptoms or be accompanied by severe pain. The latter are diagnosed only in 10% of men suffering from this pathology, therefore it is important to conduct treatment at an early stage of development.

The disease often develops during puberty in boys (14-15 years old).

But the violation can be detected in adult men. There are several stages of the development of pathology. At the initial stage, the disease does not manifest itself. Pain and discomfort begin to bother a person when the disorder is already progressing.

For spermatogenesis

There is no direct relationship between the disease and the amount of sperm produced.

The human immune system produces antibodies that inhibit sperm viability.

However, the pathology causes circumstances leading to infertility:

  • the human immune system produces antibodies that inhibit sperm viability,
  • harmful substances enter the testicles from the adrenal glands,
  • the work of the nerve endings that connect the scrotum to the pituitary and hypothalamus is disrupted.

Additional provocateurs of infertility can become excessive physical exertion and a long stay in an upright position. This increases pressure on the lower abdominal region and leads to the development of venous hypertension.

The genitals begin to experience oxygen starvation, and the testicles will not be able to produce enough sperm.

On the hormonal background

Varicocele negatively affects the production of male hormone - testosterone. This further exacerbates the situation. The testes and adrenal glands are responsible for the production of this hormone.

Varicocele negatively affects the production of male hormone - testosterone.

When the ovarian vein expands too much, blood from the adrenal glands begins to get into it. The concentration of testosterone in the blood increases sharply, and a signal is sent to the brain that production needs to be reduced. At the same time, sperm synthesis is reduced.

Staying in this state over a long period of time leads to irreversible processes. The testicles may decrease in size, and the man will begin to feel false urge to urinate.

Potency after surgery

Do not assume that the operation of varicocele passes without a trace for the male body. Much depends on the type of intervention performed. In a number of cases (Ivanissevich methodology), rehabilitation takes a long time. Anesthesia is also considered a stressful condition for the body and is tolerated by patients in different ways.

Potency after surgery is affected by such factors:

  • anesthesia (general or local),
  • temporary numbness of nerve endings,
  • the condition of sexual rest at the time of recovery,
  • possible pain in the area of ​​surgical intervention during healing.

After suffering a man, they themselves do not think about sex for some time and worry about whether the operation of varicocele can affect further sexual activity and potency. But after rehabilitation, they return to a full life. According to reviews cured, an erection increases. A man should undergo periodic examinations by a urologist, observing the state of the varicose organ.

The effect of the disease on testosterone production

Varicocele affects the testes, which are responsible for the production of testosterone. A decrease in the production of this male hormone is noted already at the second stage of the development of the disease.The stronger the changes affect the veins of the testicles, the more the production of testosterone decreases.

Testosterone is the main male hormone. Under his control, all processes associated with the sexual function of men proceed. Decreased testosterone production entails:

  • decreased libido
  • impaired sperm production,
  • weakening of an erection,
  • decreased sex drive.

Also, a lack of testosterone affects the whole body as a whole. A man feels tired and overwhelmed, the growth rate of bristles decreases, his performance deteriorates, and his sleep quality suffers. Varicocele also causes a decrease in testosterone, which entails a hormonal imbalance. This can cause a malfunction of various organs.

Thus, the exact answer to the question of whether varicocele disease affects potency depends on the stage of the disease. The less testosterone is produced in the body, the more potency problems become apparent. At the first stage of varicocele, noticeable violations are completely absent. The disease gradually begins to affect the production of testosterone, but the first symptoms appear only in the second stage of the disease and are mild.

Varicocele and erection

Blood vessels are involved in the mechanism of an erection; therefore, their pathologies affect it.

Varicocele slowly affects potency in men. In this case, a decrease in libido is first noted due to a decrease in testosterone production. An erection is a complex mechanism, as a result of which sexual penis is filled with blood and changes in size. With varicocele, there is a violation of blood circulation in the pelvic organs and scrotum, due to an increase in veins. Accordingly, this entails a decrease in the amount of blood entering the penis.

At the initial stage of the disease, problems with an erection, as a rule, do not happen. Moreover, the second stage of varicocele also does not entail these changes. The first erectile dysfunction due to exposure or influence of varicocele becomes noticeable starting from the third stage of the disease, but only if the potency has still been preserved. Often secondary diseases develop against the background of varicocele, which also negatively affect potency. The most common complication is prostatitis.

Symptoms and Causes

Primary is a hereditary predisposition to this disease or to varicose veins. Also included are congenital absence of valves in the vessels.

The secondary cause of varicocele is injury to the scrotum.

Secondary causes develop due to the presence of any other diseases, for example:

  • renal vein pathologies,
  • malignant neoplasms in the pelvic organs and abdominal cavity,
  • inflammatory process in the pelvis,
  • scrotal injury
  • venous stasis,
  • varicose veins
  • sexually transmitted diseases
  • diabetes mellitus.

Another important reason is the high intra-abdominal pressure, which can be observed with prolonged constipation.

Another important reason for the appearance of the disease is the high intra-abdominal pressure observed with prolonged constipation.

Symptoms of varicocelectomy are:

  • pain in the scrotum,
  • burning and increased sweating in the groin,
  • testicular asymmetry
  • discomfort while walking.

In the later stages, a man has severe problems with ejaculation and aching pain in the lower abdomen.

Impact on fertility

It is important to understand that a negative effect on a man’s health is not caused by the expansion of the veins, but by the consequences of circulatory disorders in the pelvic organs and complications of varicocele. Severe forms of the disease lead to the following problems:

  • testicular hyperthermia,
  • testicular hypoxia,
  • decreased testosterone production,
  • autoimmune processes
  • the development of inflammation in the pelvic organs.

If blood flow is disturbed, the temperature rises in the testicles. This leads to a change in sperm composition and loss of sperm motility. Such a complication usually occurs no earlier than stage 4 of the development of the disease. The statistics are not comforting - approximately 45% of men who have had this disease become infertile.

Also, a violation of sperm composition can be caused by testicular hypoxia. This is the name of the condition in which, due to circulatory disorders, the body lacks oxygen, since its transport is carried out with a blood stream. The result is a change in the structure of the affected testicle, which leads to a deterioration in sperm quality. The same violation leads to a deterioration in the production of male sex hormones, which negatively affects reproductive function. The result may be a complete loss of fertility and severe erectile dysfunction.

Another serious complication is an autoimmune disorder with varicocele. Perhaps this complication is the most dangerous for men's health. As a result of a specific reaction of the body, the immune cells attack the healthy and motile spermatozoa, which entails complete infertility.

Varicocele Treatment

Varicocele is only treated surgically. The operation is aimed at restoring normal blood flow in the testicles. After the intervention, the main health risks are significantly reduced, but the accurate prognosis depends only on how timely the intervention was performed.

After eliminating the root cause of the development of disorders in the functioning of the genitals, the doctor prescribes therapy aimed at treating complications of varicocele. For this, various groups of medicines are used.

In the first months after surgery, a violation of potency and erection is possible. Over time, these processes return to normal, but no doctor can give accurate predictions about the further possibility of conception.

Embolization - a less traumatic method

Prevention of testicular varicose veins as a method of preventing impotence and infertility

Since the disease mainly occurs at a young age, it is necessary to conduct explanatory work with a teenager and insist on an annual examination by a urologist. An experienced specialist is able to notice the presence of varicocele in the early stages.

Prevention of a serious problem are simple methods:

  • active physical activity,
  • lack of bad habits,
  • proper nutrition, which eliminates constipation,
  • regular sex (normal is the presence of 2-3 acts per week).

It is recommended to keep pressure and weight under control. These factors exacerbate the pathology. In the initial stages of the disease with the help of course therapy, hormone production and sperm activity are restored. This will not save you from varicocele, but it will stop the development of pathology for many years and provide reproductive function.

Teenagers need to talk about how varicocele affects potency and how it threatens them in the future. Reviews of adult men who have undergone surgical treatment should affect their lifestyle and make them think about their health.

Varicocele and potency: myth or truth

In fact, the level of sexual desire does not depend on the presence or absence of varicose veins of the spermatic cord, varicocele and potency until a certain time are completely compatible.

As a rule, with varicocele, potency decreases due to complications. Perhaps the development of prostatitis due to venous stasis, and when an infection is attached, its chronic form. In this case, the decrease in potency will be, but the cause is not varicocele, but chronic or acute prostatitis.

Potency reduction is possible after the operation of Ivanissevich, as well as after any other operations with general anesthesia.Also theoretically, local anesthesia can be complicated by transient impotence associated with the influence of local anesthesia on local innervation. Perhaps this factor for some becomes the reason to believe that varicocele and potency are not very compatible things.

But it can affect the erection of varicocele, but only in certain cases. For example, with pain along the spermatic cord, in the groin and scrotum during intercourse.

Accordingly, with varicocele of the 2nd degree and varicocele of the 3rd degree of the disease, a significant change in testicular function develops, including the production of testosterone, its level decreases. Therefore, it can be concluded that varicocele affects the level of the aforementioned hormone.

Affects varicocele and sperm quality. Violation of spermatogenesis due to hypoxia and an increase in the local temperature of the testis leads to the fact that the sperm in the ejaculate become less mobile, their number decreases. In the case of atrophy of both testicles, spermatozoa may not be detected in the ejaculate, and this stage, unfortunately, is irreversible.

Varicose veins of the spermatic cord and testicle are not cured by folk and conservative measures. In the event of a diagnosis of varicocele, the patient is advised to undergo surgery.

The range of surgical interventions is very wide, from ligation of the testicular vein to endoscopic intravascular operations, from microsurgery to sclerosis.

Microsurgical and intravascular operations are currently considered the least affecting the development of complications and the sexual sphere of life after surgery.

Watch the video: 5 tips to ensure healthy sperm - Jesse Mills, MD. UCLA Health Newsroom (February 2020).

Leave Your Comment