A varicocele is defined as an abnormal venous dilatation and/or tortuosity of the pampiniform plexus in the scrotum. Although varicoceles are almost always and more common on the left side, up to 50% of the men with varicocele, have bilateral varicoceles.
Varicocele has a negative impact on spermatogenesis, testicular volume, Standard semen parameters, and fertilization, implantation, and embryo outcomes.
Sub-fertile men with clinically palpable varicoceles ( unilateral or bilateral ).
Men with teratozoospermia.
Recurrent varicoceles.
Significant medical diseases as: Hepatic insufficiency.
Hypersensitivity to the drugs.
Female factor of infertility.
Parallel
l-carnitine
Drugto compare the efficacy of medical treatment (l-carnitine and antioxidants) versus surgical treatment (varicocelectomy) versus surgical treatment and medical treatment (varicocelectomy with adjuvant medications) on pregnancy rate on varicocele related subfertility patients with isolated teratozoospermia.
Number of participants with Treatment of Teratozoospermia
Treatment of the male patients that suffering from abnormally shaped sperms (Teratozoospermia) by medical treatment and or subinguinal varicocelcetomy
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