Reversing the warming worms in the sacs

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'Can you please tell me what constitutes a low sperm count? How does a varicocele occur, and how does it impact on fertility? 'Also, do I need an operation, and if so, how is it done?' - Warm William

We recently went to see fertility specialists and while the test results were completely normal for my wife, my sperm count revealed some shortcomings.

That said, although I have often noticed the painless swellings in the scrotal sacs which resemble a bag of worms, I have never imagined that this is the cause of my inability to father a child.Can you please tell me what constitutes a low sperm count? How does a varicocele occur, and how does it impact on fertility?

The goalposts for this numbers game have shifted in the last few years. For many decades, the low count was defined as a concentration of less than 20 million sperm per ml of ejaculate. The World Health Organization then reassessed the criteria and established a lower reference point of 15 million sperm per ml, which is consistent with the 5th percentile of ejaculate for normal men. I guess this is a sign of the times.

A varicocele is an abnormal enlargement of the veins within the loose bag of skin that holds the testicles, mainly with an unknown etiology. A varicocele is like the varicose veins of the legs, with the excess amount of blood in the scrotum being often described as a bag of worms in the sac. The severity of varicocele can be graded from 1 to 3.

 

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