Will varicocele lead to self-infertility?

Patient's question:

I am 29 years old. I had varicocele a while ago, and it was cured by taking medication. However, it has appeared again recently. Please ask: Can varicocele affect fertility?

Doctor's answer:

Varicocele causes a decrease in the temperature of the male testicles, making it easier to develop azoospermia or oligozoospermia, directly affecting fertility. Mild varicocele without symptoms does not require treatment. Moderate varicocele or those accompanied by neurasthenia may need treatments such as scrotal cold packs. Severe varicocele requires high ligation of the internal spermatic vein. After successful treatment, it is possible to have children. Patients with varicocele should follow a scientifically balanced diet, get plenty of rest, maintain regular daily routines, avoid fatigue, and keep a positive mood. Additionally, it is important to maintain good hygiene in the perineal area to prevent retrograde infection. By doing these extra daily care measures, symptoms will naturally improve quickly.

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