• Pain – aching pain when an individual has been standing or sitting for long periods of time and pressure builds up on the affected veins. Typically, painful varicoceles are prominent in size.
  • Fertility Problems – There is an association between varicoceles and infertility. The incidence of varicocele increases to 30 percent in infertile couples.
  • Testicular Atrophy – Shrinking of the testicles is another sign of varicoceles. Often, once the testicle is repaired it will return to normal size.


  • Typical on left side of scrotum.
  • Scrotum looks like a “bag of worms”.
  • Abnormal blood flow can often be detected with a non-invasive imaging exam called color flow ultrasound or through a venogram – an X-ray in which a special dye is injected into the veins to “highlight” blood vessel abnormalities.

Varicocele Symptoms and Diagnosis - Austin Radiological Association