Patient's question:
I have a slightly smaller left testicle compared to the right, it's less rounded than the right, and also slightly harder. The varicocele on the left is 2.3, while on the right, it's around 2.0. I had a color Doppler ultrasound last December, and the doctor recommended an annual follow-up. I haven't paid close attention to the size of my testicles before, but recently I read online that varicocele can gradually lead to testicular atrophy, which is why I noticed my left testicle is a bit smaller... Additionally, there are some abnormalities in my sperm. I had it checked twice last year—once with an ab value of 42%, and another time with an ab value of 35%.Doctor's answer:
As soon as possible, surgery is needed for the varicocele you described, which has already caused abnormal semen and is leading to the gradual enlargement of the testicles. Urgent surgery is necessary to prevent the condition from worsening. After surgery, semen quality generally returns to normal. However, the size of the testicles will not change. For patients with varicocele, timely treatment can reduce the risk of complications. If left untreated, it can affect overall health. Therefore, patients should seek timely treatment according to their symptoms and pay close attention to self-care in daily life, avoiding spicy foods.