Varicocele follow up question – continueing #5769

Shalom,

A2-3  Regarding the second and third question, varicocele embolization is halachically permitted regardless of whether there is fertility issue. The medical advisability of such a procedure should be addressed to the attending physician.

A1  Regarding the first question (and the follow-up question), there is no prohibition to conduct a sperm count when done for the purpose of fertility.

However, it is generally not advisable to perform this test for unmarried men with varicocle. This is because such a test is liable, in practice, to reduce the chances of the person getting married and having children, for the following reason:

Most people with varicocele are fertile (although the incidence of varicocele is higher in infertile men than in fertile men). The medical concensus now is that varicocele leads to a gradual decrease in fertility. Therefore, it is advisable for men with varicocele not to delay marriage, even if this requires a "mental switch," and there is usually no need to disclose to the prospective fiancée that he has a varicocele. His chances of being a father in a short time are high, in most situations.

However, if a sperm count is done and it shows that there is a compromised fertility issue, this result may require disclosure to the potential fiancée. This situation can sometimes delay greatly, or even prevent, the possibility of the man marrying in the future. Therefore, if he marries earlier with the expectation that there is a good chance that he is fertile, his family status is better on all accounts.

If the person gets married and there prove to be difficulties conceiving, it is recommended to perform the recommended fertility tests then, and to treat as necessary.

It is recommended to raise this point with the physician before making a decision about the sperm count.

For additional sources on this topic, see Question 5495.
We will try to address your additional points in the coming week.
Best Wishes,
Meir Orlian