Does varicocele affect sexual function?

Patient's question:

Left varicocele, with the widest diameter measuring 3.0mm. I have had two semen analyses: the first showed 75% motility, and the second showed 30% motility, with other parameters normal. What kind of help do you need: Will this condition lead to sexual dysfunction?

Doctor's answer:

Hello, the scrotum presents a relatively typical worm-like sac appearance, feeling like a bent cord-like structure when touched. If varicocele is also present in the scrotum and penis, it indicates the presence of varicose veins leading to the femoral vein.
Treatment for varicocele:
- Conservative treatment: For mild varicocele or those accompanied by neurasthenia, report the scrotum, apply cold compresses, etc.
- Surgical treatment: For severe varicocele, continuous sperm count below 20 million for three times in a row, or testicular atrophy; if the varicose veins disappear when lying flat, the inguinal internal spermatic vein (high ligation of the internal spermatic vein) can be performed.

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