Male testicular pain is often related to varicocele, and hairdressers, teachers and other industries that need to stand for a long time are high-incidence groups.
Medical Guidance:
Deng Junhong, chief physician of the Male Specialist Of The First People's Hospital of Guangzhou
Li Shilin, deputy chief physician of the Department of Urology, Nansha Hospital (Guangzhou Nansha Central Hospital), The First People's Hospital of Guangzhou
"Egg pain" is a popular phrase that has frequently appeared in the online world in recent years, and it is often ridiculed by netizens as too boring to do all kinds of irrational things. In fact, "egg pain" is not only a ridiculous word, in fact, it is really a disease, and its corresponding symptom is male testicular pain, which is called "varicocele in medicine". "'Egg pain' is the 'killer' of male semen, and its incidence accounts for 15% to 20% of male infertility." Deng Junhong, director of the Department of Andrology of the First People's Hospital of Guangzhou, introduced. It is worth noting that behind the "egg pain" may sometimes be accompanied by some malignant diseases, such as colorectal cancer, kidney tumors, etc., so men who often feel that the scrotum is swollen and uncomfortable should go to the specialty of the regular hospital as soon as possible for investigation.
Of course, the majority of men do not need to panic too much about this disease, generally mild and moderate patients, if the semen is not affected, or there is no need for fertility, through drugs, special underwear and changes in living habits can be treated. "Infertile patients with severe symptoms or abnormal sperm can be ligated with high intracoseal veins, and the improvement rate of semen after surgery can reach 50% to 80%."
Standing too long and having "egg pain"
Mr. Zhao, 34, is the chief hair stylist at a hair salon, and he has been in the industry for nearly 10 years, and he has recently been plagued by an unspeakable distress. "Giving a haircut to a guest If you stand for a long time, the testicles will have a feeling of swelling. When I took a bath, I found that there seemed to be a circle of 'small bugs' on the testicles. Mr. Zhao thought that he had some "dark disease", and he did not dare to tell his family or where to go to the doctor. "I secretly went to a private hospital, and the doctor said he was going to have surgery." When Mr. Zhao heard that he was going to use the knife at the "key part", he was immediately frightened. What bothered him the most was that after 3 years of marriage, his wife had not been able to get pregnant.
"Testicular pain after standing or sitting for a long time like Mr. Zhao is likely to be a manifestation of varicocele." Li Shilin, deputy chief physician of the Department of Urology of Nansha Hospital (Guangzhou Nansha Central Hospital), the First People's Hospital of Guangzhou, analyzed that varicocele is a common disease in young adults in men, referring to the veins in the spermatic cord due to the obstruction of reflux, and the discrete dilation occurs, and its incidence accounts for about 10% to 15% of the general male population.
Li Shilin said that varicocele is like a small bag of bugs drilling into the scrotum, the patient does not feel obvious at first, but when standing, the spermatic cord can see or feel the varicose vein plexus, "vigorously bulging the stomach, increasing abdominal pressure, you can also see more serious varicose veins, but as long as you lie flat can be relieved." "Severely ill patients may also present with sagging scrotum, testicular masses, testicular pain, and worsening symptoms after exertion, prolonged walking, strenuous exercise, and sexual activity.
<h1 class= "pgc-h-center-line" > the biggest hazard is to cause infertility </h1>
In addition to "egg pain", the biggest harm of varicocele is to lead to male infertility. "Clinical statistics have found that in the male infertility population, the proportion of patients with varicocele is 15% to 20%, and even unilateral varicocele has a risk of infertility." Deng Junhong told reporters that this is because varicocele has a lot to do with sperm quality, "about 55% of patients with varicocele have sperm quality problems." Varicocele can cause pathological changes in the testicles, affect sperm production, cause a decrease in sperm motility, immature sperm cells morphologically and increase the number of pointed sperm. ”
"Even in young patients who are otherwise normal, slight varicocele can cause great harm to sperm quality." Deng Junhong said that the symptoms of varicocele are often not proportional to their impact on fertility. "It's not that the symptoms are mild, and the effect on sperm is small. Conversely, some patients do not have any symptoms of varicocele, but their sperm quality is problematic. ”
<h1 class = "pgc-h-center-line" > teachers and hairdressers are the high-hair group</h1>
Like Mr. Zhao, many men often think that they have some unclean disease after developing symptoms such as testicular pain. In fact, varicocele has little to do with sex. Li Shilin pointed out that those men who stand as a profession are particularly susceptible to this disease, mainly teachers, hairdressers, waiters, actors and other professional groups. "Because they stand for a long time, they can easily lead to poor return of the spermatic vein in the scrotum, or even blockage, resulting in abnormal swelling, of course, due to testicular venous blood regurgitation, blood stasis, and increased pressure in the spermatic vein, causing the disease."
In addition to standing for a long time, sitting for a long time can also have problems. "White-collar workers who have been sitting in the office for a long time, long-distance bus drivers, and young students who do not like sports should also be vigilant about this disease." This is because sitting too long, the hips are under long-term pressure, the scrotum area is squeezed for a long time, the testicular blood vessels will become thicker, and when the congestion is severe, it will lead to varicocele. ”
Varicocele can be divided into mild, moderate and severe grades. After standing and holding your breath, you can't see the varicose veins, but the ones who can feel the veins are the mildest, and the veins of this varicose will disappear quickly when lying flat; you can also feel the veins, and the masses can gradually disappear after lying down; and the obvious veins can be seen with the naked eye, and there are obvious earthworm-like veins that are the heaviest, even if they disappear slowly when lying flat, this situation is severe.
Severe symptoms Surgical treatment is recommended
< h1 class = "pgc-h-center-line" > how to treat varicocele? </h1>
Li Shilin pointed out that those who are asymptomatic or mild can be treated by taking some drugs that improve the function of the vascular endothelium, or wearing elastic underwear and using a scrotum belt. Infertility with severe symptoms or abnormal sperm may be considered for high ligation of the intracocele vein.
Are patients with varicocele able to solve the problem of infertility after surgery? Deng Junhong had reservations about this. He told reporters that the degree of improvement in semen quality by surgery and whether it can ultimately cure male infertility is still controversial in the medical community. From the clinical statistics, the improvement rate of semen after intracoceleral venous surgery can reach 50% to 80%. "But the problem is that in addition to varicocele, there are many factors that can affect the improvement rate of semen and pregnancy rate, such as the older the patient and the longer the course of the disease, the greater the damage to the testicles, and the less obvious the effect of surgical improvement." In general, when the number of preoperative sperm is greater than 10 million per milliliter, the improvement rate of postoperative semen is 85% and the pregnancy rate is 70%; if the number of preoperative sperm is less than 10 million per milliliter, the improvement rate of postoperative semen is 35% and the pregnancy rate is 27%. People with azoospermia are extremely unlikely to recover fertility after surgery.
In addition, Deng Junhong also specially reminded that there are many reasons for testicular swelling and pain in the clinic, and there may be more serious diseases hidden behind it, such as malignant tumors, so it is necessary to carefully identify. Therefore, when you find your testicular pain, it is generally more difficult to judge yourself, do not use drugs indiscriminately, it is best to go to a regular hospital as soon as possible, so as not to delay the condition.
<h1 class = "pgc-h-center-line" > prevention: avoid sitting for a long time and exercise more</h1>
"Varicocele should still be based on prevention." Li Shilin said that young and middle-aged men should avoid standing or sitting for a long time, and usually participate in sports. In addition, you should also pay attention not to wear tight underwear, change underwear frequently, and use scrotum support. The scrotum tray can prevent the scrotum from falling and ventilation, but it is very inconvenient to wear. Li Shilin suggested that men choose sac underwear, "which can effectively prevent the scrotal fall, but also keep the scrotum ventilated and dry, and can also reduce the pressure of the scrotum, which can effectively prevent varicocele." ”
Deng Junhong reminded that patients with varicocele should pay attention to quitting smoking and limiting alcohol in their diet, eat less irritating foods, and usually eat more walnuts, soybeans, peanuts, melon seeds, animal livers, and yellow-green vegetables.
The following are the dietary remedies recommended by Deng Junhong for patients with varicocele:
<h1 class= "pgc-h-center-line" > kumquat root stew pork belly:</h1>
30 grams of kumquat root, 100 to 150 grams of pork belly, add 4 bowls of water, drink soup and eat meat. Suitable for hepatic stagnation type varicocele.
<h1 class= "pgc-h-center-line" > cohosh sesame fennel stewed pork intestine</h1>
10 grams of cohosh, 60 grams of black sesame seeds, 10 grams of cumin, a section of pig intestine, put the three flavor medicine in the large intestine of the pig, tie it tightly at both ends, add water to cook in an appropriate amount, go to cumin, cohosh and sesame seeds, taste and drink soup to eat pig intestine. If you have constipation, you can eat it with black sesame seeds. Suitable for qi deficiency and blood stagnation type varicocele.
< h1 class = "pgc-h-center-line" > ginseng binuclear porridge</h1>
Astragalus 20 g, ginseng 30 g, lychee core 15 g, mango kernel 15 g, japonica rice 15 g, boiled porridge to eat. Suitable for qi deficiency and blood stagnation type varicocele.
<h1 class="pgc-h-center-line" > orange kernel motherwort black bean sugar water</h1>
15 grams of orange cores, 30 grams of motherwort, 60 grams of black beans, add 3 bowls of water and fry until one bowl, add brown sugar to an appropriate amount. Suitable for stasis choroid varicocele.