I am a 33 years old guy and I don't drink and don't smoke at all and I am an IT professional. We have been trying for our 2nd baby for 6 months now we have a 6 years old daughter which happened wih natural way without ajy issue. When I approached my doctor she asked me to 1st get my Semen checked which I did 2 times and each time it came showing "No Sperm seen" so she advised me to get an Scrotum USG done and the report said this "Findings are S/o Grade 1 left Varicocele with mild prominence of Scrotal venous channels at the upper pole left Testis" She mentioned Grade 1 Varicocele can be ignored and doesn't require any kind of surgery. She further advised few more tests like FSH, LH, Prolactin, Testosterone, Total the results of all are given below. FSH = 3.61 LH = 2.41 Prolactin = 11.57 Testosterone, Total = 221.72. I absolutely don't have lack of sexual desire rather I feel I more then my friends not sure why the hell this Testosterone level has come low. I haven't gone through any surgery of any type whatsoever in my life. Please suggest me If this low Testosterone is the root cause having No sperm formation, Can this be treated or you suggest that Grade 1 varicocele is the culprit here.