Semen/Test after Varicocele Repair

AdamYoung

Member
Hi,
Has anyone got their testicle varicocele repaired and found success? I have on my left side and because of that my left testicles has become small. I also have low testosterone and low sperm count. I am guessing its because of varicocele. I will be super lucky if my sperm count returns to normal after repair. I am planning to get it done once this covid is over.
So, Has anyone got repaired and found success? Just want to know whats ur thoughts on this? I had it when i was kid. Now i am 37, so not sure repairing will help. Not worried about testosterone but only sperm count.Thanks
 
Last edited:
Hi,
Has anyone got their testicle varicocele repaired and found success? I have on my left side and because of that my left testicles has become small. I also have low testosterone and low sperm count. I am guessing its because of varicocele. I will be super lucky if my sperm count returns to normal after repair. I am planning to get it done once this covid is over.
So, Has anyone got repaired and found success? Just want to know whats ur thoughts on this? I had it when i was kid. Now i am 37, so not sure repairing will help. Not worried about testosterone but only sperm count.Thanks
Yes, I have had varicocele repair AND a vasectomy later, so have some input on this. I have always had varicoceles (mainly on left like you, the most common) since I was in my 20's. I think about 20% of men get them on average. Mine became painful after heavy workouts training about 5 years ago, so that's when I decided to do something about them. This is also very common as lots of blood pressure goes to groin, especially during strenuous exercise and certain movements like squats, dead-lifts, etc.

Anyway, I researched the various procedures and found probably the best/expert micro-surgeon Dr. Turek in California (Male Fertility and Sexual Health Clinic | Dr. Paul Turek). He ties off the tiny blood vessels instead of snaking a filament in your veins an cauterizing them shut - I really liked his approach. He said my pain would be fixed for life and he was right so far :). He has worked on thousands of men and trains other surgeons.

I did expect a minor T bump after that and I actually did go off HRT all-together for almost a year after that and was doing OK, but (still not ideal) as it's hard to reset the axis after being on HRT for years. But everyone is different.

I later returned to Dr. Turek (just last December) for a vasectomy as he's very skilled at that also - he even reverses them (much more difficult). Anyway, I got sperm tested after 3 months and still had some swimmers (this can happen), so I can verify after varicocele I still had plenty of swimmers. I'm pretty sure he said that often varicocele procedure enhances fertility - but you should have a phone consult with him.

I can't remember the insurance he took, etc - but he's the top guy I found for these procedures plus fertility, etc.
 
Thanks buddy. Sure i will google him. My another worry is injury to blood arteries. Looks like there is less chance of injury in microscopic. I will reach out to him and see when can i get appointment. Thanks for sharing
 

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Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

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Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

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The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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