What are the symptoms of varicocele?

Patient's question:

On August 26, 2018, I experienced testicular pain, and the hospital said it might be varicocele. Due to busy academic schedule, I delayed seeing a doctor until this summer vacation. Could you please help me take a look? The ultrasound and semen reports are below. Is it varicocele? Do I need surgery? Is the reduced sperm count due to frequent overtime related to this?

Doctor's answer:

The symptoms of varicocele include a heavy, sensation and discomfort in the scrotum when standing. If left untreated for a long time, it can lead to damage to the testicular and epididymal functions, and in severe cases, it may cause infertility. I haven't seen the report images—was it not uploaded? If varicocele is confirmed, surgical treatment is still necessary. Additionally, it's important to reduce the intake of sodium-rich foods and adopt a light, easily digestible diet, while avoiding spicy foods.

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