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Varicocele

The ache that is gone by morning and back by evening. And the semen analysis that came back poor while you were trying.

A doctor pressed on your left side, asked you to cough, and said not to worry. Or a report came back with bad numbers and somebody said varicocele and operation in one breath.

You can write without deciding anything. Nobody is examined for asking.

A vein drains the testicle, and small valves inside stop blood running back down. When they stop closing, blood pools and the vein swells, like a drain that empties uphill. That vein is not needed. I close it myself and the others take the traffic. You will see it written as varicocele embolization.

closeda drain built to empty uphill

If it is the ache: blood sitting where it should not, and when the vein is closed the evenings change first.

If you are the other man, you did not come about a sperm count. You came because it has been two years and something has finally been named. It is real, and I can close it. If it turns out this was not your answer, that does not mean there is no answer.

About fertility, straight

Whether closing it gets your wife pregnant, I cannot promise you. The best pooled evidence moves the sperm numbers in the right direction and stops short of meaning anything, which its own authors say.

What it does point at is smaller: the vein stops leaking and stops being the thing nobody dealt with.

If you should see a fertility specialist before you see me, I will tell you which one.

Against the operation, plainly.The swelling in the scrotum that can follow surgery, close to gone.It comes back more often than after surgery, and that is what the first two cost.
  1. One numbed spot at the top of your leg, and a tube finer than the vein itself. Nothing is cut open.

  2. I thread a fine tube up the vein, follow it on screen to the exact place, and close it there myself. Nothing goes near your testicle.

  3. About an hour. Home the same day, at a desk the next morning, and I tell you when the gym is safe.

What I can show you is not about varicocele. I sat in an MTV studio taking live calls from strangers, on air, about their bodies. Whatever you type to me is less than that.

Ask me about varicocele on WhatsApp

It comes to my phone. I read it myself.

Ask me

Tell me what is happening, in your own words.

  • I will tell you whether it is one of mine.
  • If it is not, I will tell you who to see.

Dr Yammine, I have a varicocele. I would like to ask you about it.

It comes to my phone. I read it myself.

A question costs you a message. Nothing is decided today.

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