Most people believe that for those with varicocele causing infertility, if the woman’s fertility function is normal, the number of sperm in the man’s semen is reduced, the sperm motility is reduced, and the number of abnormal sperm is increased (commonly known as the “triad syndrome”), he should Give active treatment.
Varicocele may cause parenchymal damage to the testicles, which can affect sperm production and development. Although it is unclear how varicocele causes this damage, studies have shown that semen quality improves and testicular size and structure improve after varicocele resection. A varicocele, in which the swollen vein is carefully isolated and then removed, is a meticulous procedure that requires several different techniques.
During clinical treatment, the varicose internal spermatic vein is often ligated at a high position through surgery. Some doctors also anastomose it with other adjacent veins with intact valve functions, so that the sperm will no longer be allowed to rupture. The blood flow in the cord vein is injected back into the periphery of the testicles, thereby improving the environment outside the testicles and allowing the testicles to resume their normal function of producing sperm. Generally speaking, about 1/3 of patients will regain their fertility after surgery. If the sperm-producing ability of the testicles has not returned to normal level six months after surgery, the surgery may not be effective. In order to improve the possibility of recovery of testicular spermatogenic function after surgery, some people advocate adding intramuscular injection of chorionic gonadotropin or oral administration of clomiphene acetate after surgery.
Using various methods in the laboratory to collect the semen of patients with varicocele with normal morphology and good mobility, and then perform artificial insemination, the woman can become pregnant. the goal of.
Repair of varicocele involves a variety of techniques, and there is no distinction between these techniques. It is generally believed that after varicocele repair, 1/3 of men have restored their fertility, and another 1/3 of men have improved sperm quantity and quality, but have not restored their fertility. Surgery has no effect on the remaining 1/3. 3 Males have no effect.
Varicocele can get worse over time. Even for men who have become fathers, sperm abnormalities caused by severe varicocele can still render them infertile years later. Men who are subfertile and have only varicocele may not necessarily choose surgery. Moreover, before deciding to undergo surgery, one should first determine whether there are other factors leading to infertility, and the wife\’s reproductive system should also be thoroughly examined.
Spermcocele resection can be performed in an outpatient setting, using either local anesthesia or spinal anesthesia orIt is general anesthesia, depending on the wishes of the patient or physician. For example, the groin method requires a small incision above the groin. There will be pain at the incision for a week or two after surgery. During this period, try to avoid strenuous exercise, and you can also take some painkillers like ibuprofen to relieve pain.
This article is provided by Baidu Reading and is excerpted from \”The Clear \”Conception\” Plan\” Author: Sun Jianqiu and Xie Yingbiao