Does varicocele affect fertility?

Patient's question:

Symptom Description: The right testicle sometimes swells and goes down after resting.
Past Treatment and Effect: No treatment has been administered.
What kind of help is desired: Will it affect fertility?

Doctor's answer:

Hello! Varicocele on one side. If the other side is not affected, it will not affect fertility. Varicocele. If there are no obvious symptoms, treatment may not be necessary. Follow-up observation can be done. The harm of varicocele can affect fertility. Severe cases can lead to testicular atrophy. Causes include elevated temperature in the affected scrotum, which reflects to the opposite side, leading to degeneration, atrophy, and reduced sperm count of spermatogonia; or due to 5-hydroxytryptamine or steroids secreted by the left adrenal gland flowing back into the testes through the left spermatic vein, causing a decrease in sperm count. If detected, it is recommended to seek medical attention promptly for examination and treatment to avoid affecting fertility. However, this type of varicocele rarely resolves on its own. It generally tends to grow. It is advised to visit a regular hospital for a detailed examination at an early stage to identify the cause and receive targeted treatment.

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