Do you need to have surgery for varicocele?

Patient's question:

After six months of marriage, I couldn't get pregnant, so I went to the hospital to get a semen analysis. The sperm motility rate was 50.51%, indicating abnormal sperm activity. The results were as follows: Grade A: 16.27%, Grade B: 22.37%, Grade C: 11.86%, and Grade D: 49.49%.
Later, the doctor recommended I have a color Doppler ultrasound, which revealed varicocele in the left spermatic cord, measuring about 2.2 mm. The Valsalva test showed venous blood reflux. The right side was normal. Currently, I have mild pain in my left scrotum. The doctor suggested surgery, but I'm a bit scared. The doctor said that even after the surgery, there's no guarantee of pregnancy. My chlamydia and mycoplasma tests were also normal.

Doctor's answer:

The situation you described requires: endocrine therapy, treatment for varicocele, treatment for cryptorchidism, zinc supplementation, and other treatments. Men should consume more animal kidneys, including the penis and testicles, of sea cucumbers, sheep, dogs, and cows, either braised or boiled.

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