After the varicose veins become varicose, the blood in the varicose veins stagnates, which can cause the temperature in the scrotum to rise, with the average value being 0.6°C higher than normal, thus affecting the conversion of sperm. Due to the stagnation of venous blood, the blood circulation of the testicles and epididymal cysts is affected, and the nutrients and oxygen supply they need are insufficient, thus affecting sperm formation. The problem of male testicular endocrine function is caused by the increase of temperature in the scrotum, insufficient blood supply and oxygen production in the male testicles, which will inevitably affect the endocrine function of the interstitial cells in the seminiferous tubules of the male testicles, and thus affect sperm formation. Because there is a rich collateral circulation between the spermatic vein and the testicular vein, when varicose vein occurs, blood will flow back, which can carry high concentrations of toxic metabolites in the left kidney and left renal venous blood, such as steroid hormones, catecholamines, 5-5-hydroxytryptamine and prostacyclin, etc., which are injected into the male testicles before detoxification, and the male sperm will be affected, resulting in different levels of male sperm too little, abnormal shape, movement disorders, etc. The damaging effects of free radicals Some studies have shown that when varicose veins occur, free radicals in the testicular tissue increase, lipid peroxidation intensifies, and thus affects the production and function of sperm. In male infertility patients, azoospermia or oligospermia caused by varicose veins are common, and the longer the varicose veins occur, the greater the damage to the testicles. Therefore, once diagnosed, patients, especially infertile patients, should receive treatment as soon as possible. If varicose veins are not treated, there is also a risk of causing urinary system tumors. In general clinical medicine, if varicose veins are found through routine physical examinations, combined with established male infertility, and after excluding female-caused infertility and other factors causing infertility, and semen quality is significantly abnormal during routine semen examinations, then there is an indication for surgical treatment of varicose veins. Before treatment, a detailed routine physical examination, B-ultrasound of the varicose veins, and endocrine growth hormone tests should be performed to systematically assess the severity of varicose veins, the severity of the effects on fertility, the benefits of surgical treatment on improved fertility, and the possibility of possible complications. |
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