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1. recommended considering treatment of varicocele in the male partner of a couple attempting to conceive when most or all of the following conditions are met:
2. A man with a palpable varicocele who is not currently attempting to achieve conception is a candidate for varicocele repair if he has one or more of the following:
3. European Association of Urology guidelines in male infertility recommend considering varicocele repair in patients with the following:

Abnormal semen analysis results

The male partner has abnormal semen parameters

The female partner has normal fertility or a potentially treatable cause of infertility, and time to conception is not a concern

Infertility duration of ≥2 years

Pain related to the varicocele

Otherwise unexplained infertility in the couple.

The couple has known infertility

Oligospermia

Varicocele treatment is recommended for adolescents with progressive failure of testicular development documented by serial clinical examination.

A desire for future fertility

The varicocele is palpable on physical examination of the scrotum

Clinical varicocele