How to handle varicocele with poor semen quality better?

Patient's question:

After getting married, she has not been able to conceive. A thorough examination revealed poor semen quality. The ultrasound doctor recommended a detailed check-up, which later indicated varicocele. How should varicocele and poor semen quality be treated effectively?

Doctor's answer:

Varicocele refers to the impaired blood flow or retrograde blood flow in the pampiniform plexus of the spermatic cord due to various reasons or damage to venous valves, leading to local venous expansion and tortuosity. Sometimes, varicocele may not show any symptoms, only being discovered during post-marital infertility examinations. In such cases, treatment is necessary because it is caused by pressure, and medication is generally not effective.

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