Editing Infertility: Management (section)

==== Varicocele Repair/Varicocelectomy ====
*'''See [https://test.urologyschool.com/index.php/Varicocele Varicocele Chapter Notes]'''
*'''<span style="color:#ff0000">Indications</span>[https://pubmed.ncbi.nlm.nih.gov/33295257/ ★]'''
**'''<span style="color:#ff0000">Not recommend for males with non-palpable varicoceles detected solely by imaging</span>'''
***No demonstrable benefit of varicocele repair was observed in pregnancy or bulk seminal parameters with the exception of a possible small numerical effect on progressive sperm motility that is unlikely to be clinically important.
**'''<span style="color:#ff0000">Should be considered in males attempting to conceive who have (3):</span>'''
**#'''<span style="color:#ff0000">Palpable varicocele(s) AND</span>'''
**#'''<span style="color:#ff0000">Infertility AND</span>'''
**#'''<span style="color:#ff0000">Abnormal semen parameters, except for azoospermic males</span>'''
**#*Meta-analyses demonstrate higher estimated pregnancy rates for men treated with any approach for repair of clinical varicocele compared to no treatment
**#*'''For males with clinical varicocele and non-obstructive azoospermia, couples should be informed of the absence of definitive evidence supporting varicocele repair prior to ART.[https://pubmed.ncbi.nlm.nih.gov/33295257/ ★]'''
**#**Varicocele repair defers treatment with ART for at least six months