How to check for varicocele?

Patient's question:

My boyfriend's personal hygiene is very poor. Sometimes he doesn't take a bath after school and just lies in bed. He doesn't even change his underwear sometimes. This month, it seems that his penis has had problems again. On the surface, there are several string-like erect veins, and I suspect it might be varicocele. Doctor, how can I have a thorough examination for varicocele? Will it affect future fertility?

Doctor's answer:

Varicocele can cause recurrent scrotal swelling, localized scrotal fullness or dull pain, and symptoms may alleviate during physical exertion or standing. In clinical diagnosis, ultrasound or CT scans, as well as thorough hormone testing, can be performed. Because it can easily lead to abnormal sperm production, it is one of the factors contributing to male infertility. Clinically, surgical treatment can be implemented, and the results are quite good. When patients face the harm of urological diseases, we should promptly follow the principle of symptomatic treatment and avoid delaying medical consultation. If urological diseases do not improve with treatment, it is important to promptly adjust the treatment plan.

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