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It is a highly heterogeneous condition that affects various parts of the nervous system and presents with a wide range of symptoms

Zhang Y, Yang Q, Zeng X, Wang M, Dong S, Yang B, Tu X, Wei T, Xie W, Zhang C, et al

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My clinical advice: If youve worn non-supportive underwear for years with a varicocele, dont panic Get current semen analysis to establish baseline Switch to appropriate support Recheck semen analysis in 3-4 months If parameters remain abnormal despite optimization, discuss medical treatment Reassuring data: In my practice, Ive seen numerous patients improve sperm parameters after addressing lifestyle factors including underwear, even after years of suboptimal choices