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Vitamin C, vitamin E, zinc, and essential fatty acids are found in the prostate in high levels, and are all necessary to produce semen. Low zinc levels have been connected to decreased production of seminal fluids, as well as lower testosterone levels. Therapy should be directed toward improvement of concurrent conditions such as diabetes that may be having an adverse effect on sexual function. One danger of doing a varicocele repair is that when it doesn’t help, patients get frustrated, and refuse to pursue more effective options, such as the assisted reproductive techniques. Today, most infertility specialists would advise infertile men with varicoceles to consider going in for IVF or ICSI, rather than for varicocele surgery. How is a varicocele surgically repaired?
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