Left varicocele width of 0.24 cm may affect pregnancy

Patient's question:

Left varicocele width of 0.24 cm, symptoms reduced when lying down, mild lower abdominal discomfort, frequent urination, urgent urination. When touched with hands, it feels like the left testicle is surrounded by swollen blood vessels. Will it interfere with fertility? Can it be managed without surgery? Thank you!

Doctor's answer:

Hello, according to your description of the situation: Varicocele generally occurs first on the left side. This is because the left spermatic vein flows horizontally into the renal vein, causing excessive venous pressure, damage to venous valves, and blood flow into the veins. The veins expand and become tortuous. Varicocele can lead to a decrease in scrotal temperature and poor sperm quality, resulting in infertility. There is no effective medication that can lead to spontaneous healing. Surgical treatment is the only method.

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