How should varicocele be treated?

Patient's question:

I am 22 years old this year. Now, after a thorough examination at the hospital, it was found that I have left varicocele with a size of 3.1mm. Are there others who are the same as me? I don't want surgery, but have people been cured with medication? What kind of medicine did they use? Is my current condition serious? What degree is it considered to be?

Doctor's answer:

If it exceeds three millimeters, surgery is required for treatment. The expanded diameter is already quite severe, and conservative treatment is not effective, nor is medication very useful. If it currently causes pain, some medication can be used to stabilize the pain while stabilizing local blood flow, but it cannot effectively treat varicose veins themselves. It is recommended to conduct a further thorough examination of sperm quality. If the sperm quality is already below the normal range, surgery must be performed promptly to avoid affecting future conception. Varicose veins of the spermatic cord can be cured, but the treatment period is generally long, and the condition is prone to recurrence after treatment. Therefore, it is essential to actively cooperate with the doctor's treatment and use medication appropriately.

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