Not always. Some varicoceles are asymptomatic and don't require intervention. However, men who have symptoms or concerns that they have varicocele should always seek the advice of a men’s health specialist. Treatment is typically necessary for those experiencing significant discomfort, testicular atrophy, or infertility issues. Plus, patients should be aware that untreated varicoceles can progressively worsen, which can lead to further health complications. Therefore, careful monitoring and regular check-ups with a healthcare provider are essential if you have been diagnosed with varicocele.