Does varicocele cause infertility?

Patient's question:

Semen does not liquefy, sperm motility is 46%,A sperm is 4.969%, B sperm is 26.087%, Ultrasound shows: Prostatitis sonographic image, bilateral varicocele

Doctor's answer:

Varicocele refers to the tortuous and dilated expansion of veins in the spermatic cord due to impaired venous return. In the past, because of the emphasis on the thickening and dilatation of the pampiniform plexus, venous ligation was commonly performed within the scrotum. It has been proven that the recurrence rate was very high. Now, it is believed to be caused by venous back pressure. According to this theory, venous ligation at a higher position within the spermatic cord is currently adopted. For this condition, not all surgical treatment is necessary. For younger individuals who are not divorced and have symptoms, using a scrotal support can lower the scrotum, and the symptoms will disappear. For those without symptoms or with mild symptoms,

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