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1 Introduction Varicocele, a common vascular abnormality in men, has been increasingly recognized not just as a localized issue affecting venous return from the testis but as a condition that may have systemic implications on male reproductive health ( In the testicular microenvironment, venous congestion associated with varicocele leads to increased temperature, hypoxia, and accumulation of metabolic waste products (12)

Limitations: There are a few limitations to the estimates of Medicaid prescriptions and gross spending found in this analysis, including: This analysis examines the number of Medicaid prescriptions in the data and does not adjust for days supplied by each prescription

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Helal MM, AbouShawareb H, Abbas OH, et al