Men watch crystals with varicose veins!

For every 100 men with infertility, at least 40 people have varicose veins (GTMT). ECT is quite common in men who stand a lot, sit in a car, drive a lot .

Stand up, ride a car a lot: watch out!

In many cases, after getting married, it is difficult for a child to have a child or to have a child, but it is difficult to have another child, many times when in-vitro fertilization also " scratches " and fails many times. Among many causes that men are difficult to have children, there is a very noticeable cause due to GTMT (low sperm quality, decreased sperm quality .).

Vein column was dilated by microsurgery at Binh Dan Hospital (HCMC) (Photo: KV)

According to Dr. Nguyen Thanh Nhu - Head of the South School Unit (Binh Dan Hospital, Ho Chi Minh City - where often receive and treat the cases of environmental diseases): "ECT is quite common in men. Statistics show that for every 100 men with infertility, there are 40 people with GTMT, 100 men with secondary infertility (had children before, but now want to have more children can not) then yes up to 80 cases of GTMT.

There are factors, causes of environmental diseases such as: due to the location of the patient; due to abnormal blood vessels; The venous valve system of the testicle is abnormal; those who are often forced to stand and stand long; especially those who drive a car are very susceptible (in fact, the driver is the most likely subject of MT!) - due to the long-standing heat in the car seat . ".

Most cases of GTMT have no symptoms. Common manifestations of ECT are: severe scrotum, testicles, discomfort (increased pain when standing long, sitting long, or exertion. Pain will decrease when lying down); whenever the erection of the penis is also painful, the testes are usually in the left testicle; semen drooping down . Most patients come to the hospital because of the aforementioned pain symptoms. Particularly, people after the age of 30 come to the hospital often due to infertility problems. Some cases mistaken for GTMT pain symptoms with intestinal prolapse.

According to Professor Tran Quan Anh - General Secretary of the Kidney Society - Urology VN: "ECG is divided into 3 levels: degree 1 (only palpable by the procedure of inserting fingers into the outer groove; degree 2 (palpable varicose veins clearly clear; degree 3 (seeing clearly the tufts of varicose veins under the scrotum) ".

The disease reduces sperm quality, testicular atrophy and infertility

According to Dr. Nguyen Thanh Nhu, "if there is mild metabolic syndrome, sperm quality will be reduced (the number is normal); heavier, the quality and quantity of sperm will be reduced; there is no sperm in the sperm, for long time no intervention will cause the sperm cells to be damaged, causing the testes to shrink, leading to infertility ".

It was found that infertility in ECT has many factors, in which the high temperature in the testicles is noticeable. High temperatures have affected spermatogenesis and fine quality. In people with low sperm count, the temperature in the testicles is usually higher than those with high sperm count. In men with GTMT, 90% of semen samples have reduced sperm motility and 65% have sperm density below normal levels. According to Professor Tran Quan Anh, the duration of prolonged disease will make the testicle size smaller and disrupt sperm. Diseases in stage 2 and 3 show signs of impairment of spermatogenesis, interstitial fibrosis, fibrosis birth canal .

Once you have been infected, the disease cannot be completely eliminated. The treatment of GTMT, according to Dr. Nguyen Thanh Nhu, if mildly dilated, can be treated internally with anti-inflammatory, analgesic drugs, etc., the disease can be cured. If internal treatment does not respond, or is too painful immediately surgery. At that time, the doctor will tie the damaged vein - not cut but only the column, because the vein is very small, if it is easy to cut the artery, it will cause testicular atrophy! The most commonly used method today is microsurgery for columnar vein injection.

For cases of ECT causing infertility, the treatment is the same, but it is important to solve the " root " cause of infertility, sperm improve about 70%, the rate of natural pregnancy more than 50% . If the pregnancy is not natural, then in vitro fertilization also has a higher success rate. Most cases of ECT surgery, after 6-12 months, will improve. However, there are also cases of failure or relapse (about 30%), possibly due to severe testicular testicles, or other illnesses.

THANH TUNG