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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Serious Is A Grade 1 Subclinical Varicocele?

How serious is a grade 1 subclinical varicoele?

I'm 35 years old, and I was just diagnosed with a grade 1 varicocele. Of course I drew a blank while with my doctor, so rather than wait two months for another appointment, I'm glad that I can ask these questions here:

- can a grade 1 varicocele affect fertility? My wife and I are trying to conceive.

- my sperm count is 10 mil, but my motility and everything else are fine. Is my varicocele and low sperm count related? Why or why not?

- about 5 years ago I experienced a 'dull ache' in my testicles. It either eventually went away, or I just got used to it. After researching online (big mistake I know), I read that swollen varicoceles can cause this. Can a grade 1 varicocele cause this? I only ask because the ache only returned after I got the news. Is it all in my head?

- can varicoceles get worse? over time, can it go from a grade 1 to a grade 3? Can grade 1 develop to the "worm" stage?

- if the ache does not go away, should I consider surgery? Would that help my fertility chances as well?

Thanks for your help.
Tue, 6 Oct 2015
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General Surgeon 's  Response
Hi.
Thanks for your query and an elucidate history.
Grading of the varicocele is done ultrasonography and color doppler examination and usually in lying down position hence it is not for sure the grade as this can be confirmed by another color doppler study at another center.
This alone can tell us the severity.
The low sperm quantity can be related to your varicocele.
The ache can occur in any grade.
The ache and the low sperm count are an indication to get operated.
It can get worse over time.

I hope all these answers satisfy your queries.

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How Serious Is A Grade 1 Subclinical Varicocele?

Hi. Thanks for your query and an elucidate history. Grading of the varicocele is done ultrasonography and color doppler examination and usually in lying down position hence it is not for sure the grade as this can be confirmed by another color doppler study at another center. This alone can tell us the severity. The low sperm quantity can be related to your varicocele. The ache can occur in any grade. The ache and the low sperm count are an indication to get operated. It can get worse over time. I hope all these answers satisfy your queries.