Varicocele is a common condition that affects the male reproductive system, characterized by the enlargement of veins within the scrotum. While not always symptomatic, varicoceles can have a significant impact on male fertility, leading many couples to explore assisted reproductive technologies such as In Vitro Fertilization (IVF) to overcome fertility challenges. This article delves into the intricacies of varicocele, its effects on male fertility, and the role of select IVF as a viable treatment option.