How do you know you have vericocele veins at the core of testis what are the symptoms and what possible test is there to find out?

Exam and US: Varicocele is a collection of varicose veins on the spermatic cords. Symptoms may be non existent, some men experience aching. Their relationship to infertility has been called into question. An exam by an experienced clinician and/or an ultrasound will confirm the diagnosis.

Feels, bag of worms: When scrotum is examined (palpated) with subject standing erect if varicocele is large, more prominent with valsalva. Symptoms few & far between, namely mild ache on affected side or feeling of heaviness. Scrotal ultrasound will demonstrate better as well as relative size of testes. Semenalysis can identify associated infertility factors, if present. Consult urologist if necessary.

Most are free of Sx: Some degree of varicocele occurs in 10-15% of men with 10% involving both sides; most of them are free of symptom and require no need for medical attention. If it's big and obvious, it can be seen and palpated like a a bag of worms; if less prominent, experienced hands can feel and palpate it as a soft compressible "mass"; if small, ... And in supine position, they will virtually "disappear. ...