Managing varicocele treatment and fertility

By Dr Matt Clifford and Dr Will Ormiston, Interventional Radiologists, Nedlands 

Varicoceles are the most common surgically correctable cause of male infertility, affecting up to 20% of adult men and 40% of those with primary infertility.

Despite this, optimal management has long been debated, with guideline recommendations varying.

Recent evidence – both from a 2023 systematic review and a new 15-year retrospective series – has helped to clarify the picture, reinforcing varicocele treatment as a safe, effective and durable option that can meaningfully improve fertility outcomes in appropriately selected men....

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