24/04/2026
“Bag of worms” in the sc***um. 15% of men. Often zero symptoms. And it’s still the most common correctable cause of male infertility.
A varicocele is dilated veins in the the network of vessels that bring the blood upwards. And effectively “cools” the testicle. When drainage fails, heat rises, oxidative stress follows, and s***m production can take a hit. Quietly. Even without pain.
So how do I decide who needs treating?
Not by the scan alone. By the full picture:
→ Symptoms (pain, heaviness, dragging)
→ Fertility goals
→ Testicular size asymmetry
→ Semen parameters
The workup: clinical exam, scrotal Doppler, semen analysis. Sometimes hormone blood tests. A clear plan — monitor, investigate further, or treat.
When treatment is needed, microsurgical repair is the reference standard. Embolisation is a minimally invasive alternative in selected cases.
But here’s the bit most clinics won’t say out loud: many varicoceles don’t need treating at all. Monitoring safely is a real option. Treat the patient, not just the scan.
🔖 Save this for later
📅 Book a proper assessment — link in bio
ggomed.co.uk/varicocele
