Patient's question:
A 23-year-old male doctor has been experiencing testicular swelling and pain after sexual activity for the past two years. It usually subsides after a night's sleep. Recently, he has been experiencing pain during penile erection. After sexual activity yesterday, he has been in pain all day. During yesterday's sexual activity, he felt a sharp pain in his lower left abdomen, and there was also a sharp pain during ejaculation. A few months ago, a thorough examination at the hospital revealed varicocele, but he didn't pay much attention to it. He has some kidney yang deficiency and now his two testicles move up and down, with the left one slightly lower. He can feel a large mass of blood vessels with his hand above the left testicle, and the blood vessels are about the size of the testicle. He has been in pain all day, with mild discomfort. Have you encountered a case like mine before? Is it necessary to have surgery immediately? Can it wait for another month?Doctor's answer:
It is best to promptly seek medical attention at a formal hospital for a thorough examination and treatment, and cooperate with the doctor for timely surgery. Varicocele can lead to a decline in sperm quality, and in severe cases, infertility. After surgical treatment, it generally recovers well, but sperm quality may still be affected. The testicles can be relieved, but the treatment period is usually long, and there is a high risk of recurrence after treatment. Therefore, during treatment, medication must be used according to symptoms. Additionally, patients should avoid prolonged sitting or riding and pay close attention to personal hygiene.