End Heavy Scrotal Ache & Boost Fertility
Varicocele is diagnosed with colour-Doppler ultrasound to pinpoint enlarged veins that cause dull scrotal pain and reduced sperm quality. Microsurgical varicocelectomy offers lasting relief and can significantly improve fertility, with faster recovery and precise repair.
Medically reviewed by Dr. Cheevathun Theeraratvarasin (Big), Board-certified Urologist
7 years of experience
A varicocele is a cluster of enlarged veins above the testicle, similar to “varicose veins” in the scrotum. This pooling of blood raises local temperature and oxidative stress, which can damage sperm DNA and lower hormone therapy over time.
The aching heaviness was gone on day one, and my three-month semen test showed my count had doubled.
Go with micro-surgery over coils, no recurrence and barely a scar.
Book your consultation today.
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Basic blood work (CBC, coagulation, creatinine) plus anesthesia clearance to ensure fitness for surgery.
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A 3–4 cm incision allows precise ligation of dilated veins while sparing arteries and lymphatics under a high-powered microscope.
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Patients return home within hours, with scrotal support and ice packs provided for comfort.
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Stitches are checked and removed if necessary; most men resume gym workouts or sports by week 3.
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Every repair is performed under high-magnification optics to protect arteries and lymphatics.
Our surgeons specialise in male infertility, maximising sperm recovery outcomes.
Microsurgical technique ensures the lowest recurrence and complication risk.
A discreet clinic environment designed exclusively for men’s urological care.
What is a varicocele?
A varicocele is an enlargement of veins within the scrotum, similar to varicose veins. It can cause scrotal heaviness, dull pain, or reduced fertility due to poor blood drainage and heat build-up around the testicles.
How do I know if I have a varicocele?
Typical signs include a dull ache, a feeling of heaviness, or visible veins on one side of the scrotum. Diagnosis is confirmed by a colour-Doppler ultrasound, which can be done during your consultation at Menscape.
Can a varicocele affect fertility?
Yes. A varicocele can impair sperm production, DNA integrity, and hormone therapy levels. Microsurgical repair has been shown to significantly improve sperm quality and fertility outcomes in many patients.
Is surgery always required?
Not always. Mild cases may only need monitoring or medication if symptoms are minimal. However, surgery is advised when pain, infertility, or testicular shrinkage occur.
What is the surgical procedure like?
Menscape performs microscope-assisted varicocelectomy, a precise repair that preserves arteries and lymphatic vessels. The incision is just 2 cm, closed with absorbable sutures, and most patients return to work within 48 hours.
Does the surgery leave a visible scar?
The incision is placed in the groin crease and is barely noticeable after healing. We use fine sutures and careful technique for optimal aesthetic results.
How soon can I have the procedure after diagnosis?
If surgery is recommended, it can usually be scheduled within 48–72 hours. Pre-operative labs and insurance paperwork are handled on-site for your convenience.
Is the procedure covered by insurance?
Yes. Most local and international health plans cover microsurgical varicocelectomy. Menscape provides detailed insurance invoices and medical certificates if needed.
How long is recovery?
You can go home the same day. Light activities are fine within 24 hours, and gym or sexual activity can typically resume in 2–3 weeks, depending on your doctor’s advice.
Can untreated varicocele cause complications?
Yes. Long-term, it can lead to reduced sperm quality, testicular shrinkage, and lower hormone therapy levels. Early evaluation helps prevent these outcomes.
They collapse during surgery but typically take 3–6 months to shrink fully.
With the microsurgical approach, recurrence is under 2%, compared to around 10% with open surgery.
Count and motility often rise within 3 months, with maximum gains by month 6.
Can international patients get varicocele treatment at Menscape Bangkok?
Yes, Menscape treats international patients for varicocele diagnosis and surgical repair. We can complete diagnostic ultrasound, consultation, and schedule surgery within days of your arrival. Most patients can fly home 5–7 days after varicocelectomy. We provide English-language medical reports and remote post-operative follow-up.
Less Ache, Better Fertility
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Dr. Cheevathun is a board-certified urologist trained at Siriraj Hospital, Mahidol University, with over 7 years of experience. He focuses on prostate care and general urology, providing professional, discreet, patient-centered care.
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