Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Varicocele
Question: My cousin (35) and his wife had trouble to conceive for about two years. She was pregnant twice but had miscarriage around week 6-8 both times. They has been trying to conceive again for a year now (she has been doing period monitoring in a fertility clinic each month) but nothing has happened. Recently my cousin was found to have varicocele from an ultrasound, and his sperm DNA fragmentation is high (68%). They live in China and some doctors in private clinic recommended surgery and others in public hospital clinic didn't think this is a big deal. Some fertility clinics don't like to accept patience with high DNA fragmentation for IVF procedure. They haven't tried IVF yet but they are confused on what to do next. So they hope i can help them to consult doctors outside of China. Any recommendations would be much appreciated.
Brief Answer:
Surgery for varicocele not required
Detailed Answer:
Hi,
I understand your concerns about infertility.
Following is my reply:
1) Varicocele surgery is not associated with improvement of semen parameters or DNA fragmentation index (DFI).
2) I don't advice surgery for varicocele.
3) Most IVF centres in XXXXXXX do accept patients for IVF though DFI is high as patients with high DFI do conceive.
4) They can try for IVF in XXXXXXX
Let me know if you need anymore help.
Regards
Surgery for varicocele not required
Detailed Answer:
Hi,
I understand your concerns about infertility.
Following is my reply:
1) Varicocele surgery is not associated with improvement of semen parameters or DNA fragmentation index (DFI).
2) I don't advice surgery for varicocele.
3) Most IVF centres in XXXXXXX do accept patients for IVF though DFI is high as patients with high DFI do conceive.
4) They can try for IVF in XXXXXXX
Let me know if you need anymore help.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you doctor! Appreciate your fast response!
Dr koregol, one more question... Normally what causes varicocele and what causes DNA fragmentation? He is otherwise healthy and has no family history of infertility issues. Thanks!
Dr koregol, one more question... Normally what causes varicocele and what causes DNA fragmentation? He is otherwise healthy and has no family history of infertility issues. Thanks!
Brief Answer:
Spontaneous varicocele
Detailed Answer:
Hi,
Some degree of varicocele is normal in many men. Severe weakness in wall of veins in scrotum causes varicocele. There is no fault of the male in this and no history of family required.
Regards
Spontaneous varicocele
Detailed Answer:
Hi,
Some degree of varicocele is normal in many men. Severe weakness in wall of veins in scrotum causes varicocele. There is no fault of the male in this and no history of family required.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
