How to treat varicocele with medication

Patient's question:

Duration of onset and persistence of this illness: One year, How to treat varicocele with medication

Doctor's answer:

Hello, varicocele rarely occurs in males before puberty but gradually increases in incidence after puberty with age. Enlargement of the testicular volume and increased blood supply to the testes are associated with it. Statistics show that varicocele occurs in 20-35% of infertile men, with some reports as high as 39%. 98% of varicoceles occur on the left side due to anatomical reasons. In semen with varicocele, there may be oligospermia, reduced sperm motility, immature sperm morphology, and an increase in abnormal sperm.
The venous blood of varicocele flows very slowly, with dilated, tortuous, and elongated veins, leading to increased local temperature in the testes, which affects sperm production. Patients with varicocele have a scrotal temperature 0.6°C higher than normal. Due to venous reflux obstruction, retention leads to the accumulation of intratesticular CO2, resulting in intratesticular hypoxia and increased carbonic acid, which causes lactic acid accumulation, disrupting normal testicular metabolism and affecting sperm production. Blood stasis increases the concentration of catecholamines in the local blood circulation of the testes, leading to elevated serotonin levels, which can cause vasospasm, causing immature sperm to detach prematurely in the testes, resulting in oligospermia. Severe varicocele can cause prostaglandins secreted by the kidneys to flow backward into the testicular blood circulation, reducing blood flow to the testes, causing contraction of the epididymal ducts, which is unfavorable for sperm maturation in the epididymal ducts, and may even have an inhibitory effect on the testes. The testicular secretion dysfunction itself affects the biosynthesis of testosterone, also disrupting sperm production.
Left varicocele not only affects the normal function of the left testis but can also