How is bilateral varicocele best treated?

Patient's question:

What should be done about bilateral varicocele in men? I want to know what to do if both sides of a man's testicles have varicocele. What are the causes of this? Is there a way to treat it? What should we do?
I had it once before when my testicles felt uncomfortable, but it got better afterward. What should I do now? Can it be treated?

Doctor's answer:

Bilateral varicocele, as the varicocele changes the temperature of the scrotum, which affects the viability of sperm. Your semen analysis revealed a low sperm count and poor motility, which is likely caused by varicocele. Drug treatment is not very effective, and a better approach is surgical intervention. It is recommended that you seek treatment at a reputable hospital and receive targeted therapy based on your individual circumstances. Varicocele is prone to recurrence, and long-term medication may be necessary.

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