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How is a varicocele diagnosed?

Diagnosis of a varicocele usually begins with a physical examination by a healthcare provider. During the exam, the doctor will feel for any abnormal veins in the scrotum while the patient is standing, as varicoceles may not be as noticeable when lying down.

Often, the “Valsalva maneuver” is performed, where the patient takes a deep breath and holds it, which can help make the varicocele more prominent. If further confirmation is needed or if the varicocele is mild, an ultrasound is often recommended.

An ultrasound uses sound waves to create an image of the scrotal area, allowing for a clear view of any enlarged veins and assessing the blood flow through them. This method also helps determine the varicocele’s grade or severity, which can guide the need for treatment, especially in cases where infertility is a concern.

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