Varicocele has been discovered for more than a year, and it's causing discomfort. What should I do?

Patient's question:

The very beginning was a feeling of dull pain, and later I went to the hospital for a thorough examination, where it was diagnosed as varicocele, but it wasn't severe. I'm 25 years old. They advised me that if there were no symptoms and no urgent need for children, there was no need to worry about it. But I've always felt a bit uncomfortable, and my testicles hang down very low, feeling heavy. I've always kept my shorts pulled up high, and later I bought a scrotal support, which improved the symptoms significantly. However, I still frequently feel a bit uncomfortable. It's been over a year since the varicocele was discovered, and I'm wondering what to do about the discomfort?

Doctor's answer:

Varicocele refers to the expansion, tortuosity, and elongation of the pampiniform plexus (vein vascular) caused by the congestion of spermatic vein blood flow. Varicocele can be accompanied by testicular atrophy and impaired sperm maturation, leading to male infertility. Mild varicocele without symptoms does not require treatment. Non-surgical treatment: For mild varicocele or those accompanied by neurasthenia, measures such as reporting the scrotum and cold compresses may be used. Surgical treatment: For severe varicocele, where sperm count is continuously below 20 million per cubic centimeter for three times in a row, or with testicular atrophy; or when the varicose veins disappear when lying flat, the inguinal high ligation of the spermatic vein can be performed. Patients face the harm of andrological diseases, and we should promptly implement symptomatic treatment principles. Avoid avoiding medical visits. If andrological diseases do not improve with treatment, it is necessary to promptly change the treatment plan.

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