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Doctor insights on: Varicocele Testicular Atrophy

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Is testicular atrophy caused by a varicocele reversible?

Is testicular atrophy caused by a varicocele reversible?

No, but...: Performing varicocelectomy for poor testicular growth (or "atrophy") for males in puberty / adolescence may help improve its future post-operative growth, but will definitely not reverse its varicocele-ralated change, thus in conforming: life is a one-way street of accumulation, modification, and continuation from inception to eternity.

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Varicocele (Definition)

Varicose spermatic cord veins within the scrotum. Usually left sided & due to absent or faulty venous valves between testis and major vessels permitting beack pressure effects on spermatic veins. Can cause infertility in some, but mostly of no consequence. Best treated by urologist if associated with pain which is rare, or there is an ...Read more


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What causes bilateral testicular atrophy if I had a left varicocele and it was fixed? Shouldn't that one be smaller than the right?

What causes bilateral testicular atrophy if I had a left varicocele and it was fixed? Shouldn't that one be smaller than the right?

See answer: There are actually many potential causes of testicular atrophy, fortunately most of which are quite uncommon. Bilateral atrophy would suggest more of a congenital (klinefelter's syndrome most common) or systemic cause (use of steroid medications/body builders). You are correct in that a varicocele can cause atrophy on the same side and much less likely on other side unless bilateral varicoceles.

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How can I be sure if I am experiencing testicular atrophy? Is the only way through an ultra sound? How would I know if a varicocele is causing it?

How can I be sure if I am experiencing testicular atrophy? Is the only way through an ultra sound? How would I know if a varicocele is causing it?

By history & exam...: Detailed history stressing sequence of events and direct palpation are the essential steps to suspect and even confirm testicular atrophy. If necessary, scrotal US can help but not essential. How to have the steps of care done correctly? Follow instructions described in http://formefirst. Com/eNewsletter06.html; then you can work closer & better with doc so to reach right diagnosis for right care.

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Can a 16 year old use hCG to reverse testicular atrophy due to varicocele?

Can a 16 year old use hCG to reverse testicular atrophy due to varicocele?

No: There is no evidence for HCG reversing testicular atrophy or hypotrophy. What can reverse the condition is surgical ligation of the varicocele 95% of the times in this age group. That is an output procedure with a high rate of success. Do not delay.

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Varicocele (i think) on the left side. Age 19. No noticeable discomfort. Left testicular atrophy. Palpable veins do I need to worry? Risks?

Varicocele (i think) on the left side. Age 19. No noticeable discomfort. Left testicular atrophy. Palpable veins do I need to worry? Risks?

Here are some. ..: After reaching adulthood, varicocelectomy wouldn't help much rescue varicocele-related testicular atrophy. In fact, some controversy regarding varicocelectomy for varicocele-related testicular atrophy still remains. Yet, in my practice, I still favor such procedure for adolescent varicocele with testicular atrophy, say, at age 15 - 18In. Of course, seek pro-evaluation and counseling timely.

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What are testicular atrophy symptoms? How it feels like?

What are testicular atrophy symptoms? How it feels like?

Small balls. . .: Testicular atrophy refers to small balls, literally. Question to ask is why? They can shrink from excessive doses of testosterone or other anabolic steroids. But then, aside from small balls, you wouldn't notice anything else since you're taking T/steroids. On the other hand, if testes are small b/c pituitary or hypothalamic issue, then you might notice hypogonadism (low T) & infertility.

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Could phytosterols cause testicular atrophy?

No: Have similar cemical structure to cholesterol ; steroid hormones, but do not affect testes. So continue if you really need it.

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If you took steroids at a young age and get testicular atrophy is it reversible or permanent?

If you took steroids at a young age and get testicular atrophy is it reversible or permanent?

Permanent: Don't like to be bearer of bad news. Significant reason for advising against use of anabolic steroids. You hopefully have sufficient testosterone ; sperm function left.

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In a 1 year kid what can we do for testicular atrophy due to vascular causes? And can he have normal sexual life?

Most likely Yes: But because of the testicular atrophy he may need to have hormonal replacement therapy. And then again it depends on the degree of atrophy. If he maintains some percentage of testicular function, that may be enough. Close monitoring of growth and development especially between ages 8-17. Your PCP may consult with a Pediatric endocrinologist for the life of your son.

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Is it common to have testicular atrophy after epididymitis? Left one was affected and treated, but seems to be atrophied.

Is it common to have testicular atrophy after epididymitis? Left one was affected and treated, but seems to be atrophied.

Probably not...: Most of epididymitis in young age are STD-related and usually limited to epididymis per se, although few untreated cases may extend to involve testis, called epididymoorchitis, which may induce testicular atrophy. Clinically, mumps (a viral infection of parotid gland) may involve testis as mumps orchitis, commonly leading to later testicular atrophy. To unveil myth behind your concern, see experts

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Does temporary testicular atrophy exist? Some websites say it does, some say it doesn't? For example from a bacteria? Can it ever be temporary?

Why do you: Ask this question? Testicular atrophy is not common, and usually permanent because it involves death of cells. Check w/your doctor. Make sure your problems aren't due to taking anabolics or opiates.

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I experienced some testicular atrophy and ascension when put in risperidone. I switched medications but the atrophy did not get better. Reverseable?

I experienced some testicular atrophy and ascension when put in risperidone. I switched medications but the atrophy did not get better. Reverseable?

Possibly reversible: The testicular atrophy seen with Risperidone results from the increased prolactin levels it causes. It is likely reversible when stopped unless it has been taken for a long time.

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Can you reverse testicular atrophy?

Can you reverse testicular atrophy?

Unfortunate not: Atrophy can occur with mumps, taking androgenic steroids, following testicular surgery or old age. Testes do not regrow

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Hi doctors, was just wondering what is a testicular atrophy!?

Shrinking testes: Can occur after testicular torsion which if untreated can lead to complete atrophy (death) of affected testis. Testes can shrink/atrophy after mumps, anabolic steroid use, radiation or chemotherapy for cancer. Testicular atrophy leads to reduced testosterone and sperm production leading to sterility, loss of libido ; overall reduced strength, energy ; drive, .

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Can I reverse my testicular atrophy as a cause of epididymitis? If so how, please!?

Unlikely: Testicular atrophy is usually caused by chronic long term infection, poor blood flow, history of hernia repair, undescended testicle, hormone imbalance, varicocele, or history of testis trauma. Epididymitis in a young man can be caused by a sexual disease most commonly or a urine infection. A low sperm count can be treated with medication or surgery. A urologist can recommend a treatment plan.

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Testosterone & testicular atrophy- is it possible to reverse this?

Testosterone & testicular atrophy- is it possible to reverse this?

Could you specify: Do you mean the reversibility of testicular atrophy from long-term testosterone use? If so, yes, only to a degree and depends on how long and how severe the atrophy has taken place, but how much and how soon the recovery will be? None has a clear idea so time after stopping T-use may tell the story. Clinically, that Clomid (clomiphene) or HGH may be tried under close monitor would be logical.

Atrophy (Definition)

Atrophy usually refers to the skin-as you get older or if you have had alot of sun in the past-the dermis (that is the layer below the top layer which is called the epidermis) gets thinner and the skin looks more wrinked. Muscles and fat can also get thinner -this is another form of atrophy. Even the top layer gets thinner ...Read more


Enlarged Testicular Veins (Definition)

This occurs in 15% of the adult population and is not typically visible until after puberty. It is almost always on the left side, and if seen on the right additional evaluation needs to be performed. It is more common in men with infertility and if treated ...Read more