Some men may not know they have a varicocele. In most cases the diagnosis is made by the doctor. The scrotum is gently palpated and if no varicocele is apparent, you may be asked to bear down (like pooping). This force will cause engorgement of the veins and the varicocele will become prominent. The “bag of worms” will be more prominent during this maneuver. Varicoceles are always more prominent when standing up than when lying down.
To confirm the presence of a varicocele, an ultrasound may be ordered. This non invasive painless test can reveal the presence of the varicocele, its size, and even the flow reversal. In addition, size of the testis can be determined.
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