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Confirmation of this diagnosis is best done by a Doppler test at the same time. The Doppler is a small pen like probe which is applied to the cord. It bounces sound waves off the blood vessels and measures blood flow by magnifying the sound of blood flowing through the veins. This can be recorded. Patients with a varicocele have a reflux of blood during coughing which shows up as a large spike on the tracing. Other tests which are done uncommonly to confirm the diagnosis of a varicocele include: Doppler ultrasound; special X-ray studies called venograms; and thermograms. What are the areas of controversy about the varicocele? Most doctors are still not sure whether a varicocele causes a low sperm count or not ! It is possible that the varicocele may be an unrelated finding in infertile men - a red herring so to speak. Strangely enough, only a quarter of men with varicoceles have a fertility problem.
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