Abnormal dilation of veins around the testicles, called varicoceles are the most common cause of male infertility, impacting 40% of men presenting for fertility evaluations. Varicoceles damage testicular cell function which has been well established to adversely impact many men’s fertility potential and a minor surgical repair can improve fertility parameters. It has been demonstrated that in a similar manner varicoceles can decrease testosterone levels more rapidly. Dr. Kavoussi co-authors a meta-analysis revealing that varicocele repair can naturally improve testosterone levels without requiring medications. Dr. Kavoussi states, “This is especially useful for men wanting to maintain fertility as testosterone replacement medications suppress sperm production.” Dr. Kavoussi performs multiple varicocele repair weekly.