Patient: I want to have a child, I went to the hospital for examination of poor semen liquefaction, some premature ejaculation, low libido, urinary urgency, right testicular swelling and pain, right back pain, spermatic cord vein test, said I have bilateral spermatic cord vein tortuous widening on the left side of the wider inner diameter of about 0.33cm Wachs test can be seen continuous reflux, reflux time of about 2 – 3 seconds, the right side of the wider 0.26cm Wachs test can be seen continuous reflux, reflux time of about 1-2 seconds. I want to know if my condition is related to varicocele? Are varicose veins serious? Do I need surgery if I want to have children? Reply: Varicocele is one of the major causes of male infertility. From the ultrasound results, you are double measured varicose and it is serious, we suggest surgery followed by medication.