Bilateral epididymal hydrocele and bilateral varicocele: What should be done?

Patient's question:

Anxious, doing a bilateral hydrocele ultrasound besides bilateral varicocele, what's going on, why no sperm?

Doctor's answer:

From the semen analysis report, no sperm were observed, indicating azoospermia, which can be classified as primary or secondary azoospermia. Ultrasound shows varicocele of the spermatic cord and bilateral epididymal congestion. Generally, these conditions may lead to an increase in sperm quality and quantity but are unlikely to cause azoospermia. It is recommended to have blood tests for the six sex hormones to determine whether the azoospermia is congenital or caused by secondary factors leading to blocked vas deferens and inability to expel sperm, resulting in male reproductive disorders. In addition to timely medical treatment, patients should also pay attention to maintaining a proper diet and ensuring adequate nutrition in daily life.

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