Patient's question:
There is a mass above the testicles suspected to be a blood vessel. It seems to occur more easily after sexual arousal. Usually, there's nothing wrong, but when it happens, there's a sensation of downward dragging pain, aching and soreness in the testicles, and a constant urge to have a bowel movement. It started on one side, and when I focused on sexual arousal, both sides became painful. However, by the third day, it had resolved without any issues. What could be the cause? Does it require surgery? Will it interfere with fertility?Doctor's answer:
In your case, varicocele should be considered. Long-term penile erection with blood congestion, as well as excessive sexual activity and prolonged intercourse, can lead to this condition. It is recommended to abstain from sexual activity and practice sexual restraint to prevent long-term penile blood congestion. Further improvement of scrotal ultrasound is advised to clarify the diagnosis. If varicocele is confirmed, improvement of semen analysis is recommended, as the vitality may be low. Surgical treatment is advised, as it may interfere with fertility. During treatment, it is essential to actively cooperate with the doctor's treatment, use medications appropriately, and also adopt a healthy lifestyle and proper diet during the treatment period.