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Yes, varicolectomy can in many cases improve male fertility. Studies show that semen parameters (like count, motility, and morphology) often improve within 3 to 6 months post-surgery. For some, this makes natural conception possible again. For others, it may improve success rates with IUI or IVF.
Discomfort is typically mild. Most patients describe it as a dull soreness and are able to return to most normal activity in 1–2 days. We recommend patients avoid lifting anything heavier than 20 pounds for 2 weeks after their procedure.
Not necessarily. If you’re not having symptoms and fertility isn’t a concern, no intervention may be needed. But if sperm quality or comfort is affected, treatment can make a meaningful difference.