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מכון שלזינגר לחקר הרפואה על פי ההלכה

varicocele and its treatments

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13 באוגוסט 2010

הרב המשיב: הרב ד"ר מרדכי הלפרין

שאלה:

Hi

According to the UltraSound I have a 4 mm varicocele .. I am not married and therefore there isnt a question of infertility even though that is generally most patients with varicocele suffer from.. however, I have lots of pain which may be related to the varicocele (although Doctors weren't 100% sure the pain was from varicocele) but one doctor felt that it could be as part of his examination.

some questions:

a) Is it allowed to fix a varicocele by surgery for causes of pain ?
b) Is it allowed to fix a varicocele by embolization ?
c) Is either method more preferred halachically ?
d) I have not done a sperm count test as infertility is not an issue, however would it be allowed here to see the effects of the varicocele on the sperm just to see how it is effecting things in addition to the pain ?

e) Have you heard of the Gat-Goren method developed and practiced in Israel ? Do you guys recommend it ?

Please help to respond soonest.

Thanks very much

תשובה:

a)      It is allowed to fix a varicocele by surgery for causes of pain.

b)      It is allowed to fix a varicocele by embolization.

c)      The decision depends on the medical question of- which procedure is more effective?

d)     In general it is not recommended to perform a sperm analysis before getting married.

e)      I am familiar with the method of Dr Gat and Dr Goren. They are fine professional physicians
and their recommendations are reliable.

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