How do I know if I have a varicocele?

Many men who have a varicocele do not always have symptoms. In most cases, the varicocele is identified as a coincidental finding or during the work up of sterility. Varicoceles are small and most are about 1 x 1 cm but  some may be larger. Once a varicocle occurs it generally tends to grow in size. For the male who likes to keep on fondling his “Kahounas”, the varicocele may feel like a “bag of worms”. Some may complain of heaviness in the groin which is usually worse at the end of the day. Others may complain of a drag-like sensation in the groin. However, the pain is generally mild in nature. In most cases, the varicoceles do tend to grow over time.