How should varicocele be treated?

Patient's question:

I am a 24-year-old unmarried male with varicocele for one year, experiencing chronic scrotal pain due to prolonged standing. The pain is relieved when lying down. Currently, I wear an scrotal support bag. Should I take medication like Matislin for a long period?

Doctor's answer:

Hello, regarding the treatment of varicocele, mild cases can be managed conservatively, which involves rest, wearing tight underwear, reducing strenuous exercise, and appropriately using blood-activating medications. However, moderate to severe cases, or those accompanied by infertility or abnormal semen, require surgery. This is because varicocele obstructs blood, leading to impaired blood circulation in the testes, which disrupts their normal sperm production and secretion functions. Over time, it can cause testicular atrophy and loss of all functions. It is recommended that you seek medical attention early for comprehensive examinations and receive an appropriate treatment plan based on the results. Additionally, avoid consuming foods and prolonged standing during daily life.

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