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. 2022 Jun 13;41(1):164–197. doi: 10.5534/wjmh.220048

Table 1. Indications for varicocele repair in men with infertility.

Q17. “What are your indications for varicocele repair in an infertile couple?” (you can choose multiple options)
Answer No. of responses Percentage of respondents
Infertility with clinical varicocele, abnormal semen analysis, and normal female partner <35 years old 526 91.6
Infertility with clinical varicocele, and abnormal semen analysis or elevated SDF, irrespective of female partner status 220 38.3
Infertility with clinical varicocele, normal semen analysis, normal female partner, but elevated SDF 199 34.7
Clinical varicocele with normal semen analysis, normal SDF, but ipsilateral testicular atrophy 179 31.2
Infertility with clinical varicocele, normal semen analysis, normal SDF, normal female partner, but failed IUI/IVF 105 18.3
Infertility with clinical varicocele, normal semen analysis, normal female partner, but elevated OS 94 16.4
Large asymptomatic, varicocele with normal semen analysis, and normal testicular size 79 13.8
I do not recommend varicocelectomy. I rather prefer to proceed with other treatments (IUI/IVF/ICSI) 7 1.2
Total number of respondents 574

ICSI: intracytoplasmic sperm injection, IUI: intrauterine insemination, IVF: in vitro fertilization, OS: oxidative stress, SDF: sperm DNA fragmentation.