How to solve the problem of varicocele?

Patient's question:

I noticed it by chance while taking a bath. Married. No symptoms, no pain, no itching, and it doesn't interfere with normal life. I was wondering if working overtime until 3 a.m. for the past two days might have affected it. The doctor recommended surgery, but I don't think it's that serious.

Doctor's answer:

The described condition may be bilateral varicocele, but the patient does not have symptoms of aching or discomfort in the scrotum. According to the results of the semen analysis, the sperm quality is poor, indicating asthenozoospermia. There are many reasons that can lead to this condition, but varicocele is one of the common causes. If the patient is unwilling to undergo surgery, they can first take oral medications such as Wuzi Yanzong Wan and vitamin E capsules, and avoid overtime work, alcohol, and smoking. Regular semen reexaminations should be conducted. If the sperm count and quality do not stabilize, surgery should be performed to varicocele.

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