I am suffering from bilateral varicocele and my wife is not able conceive since 7 years. Is surgery the only option?
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It is the most effective treatment.
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Varicocele is among the most common causes of male infertility, which usually vary from normal to mild or moderate asthenospermia, teratospermia or asthenoteratospermia. Initially, sperm concentration is not seriously affected, though later all three sperm parameters can gradually deteriorate, resulting in azoospermia. Varicocele surgery can improve sperm counts or low motility. If the count is under about 5 million per cc, or the motility below about 30%, it is unlikely that the semen quality will improve enough after varicocele repair to result in pregnancy without inseminations or ivf. These couples should consider seeing an infertility specialist for a discussion of their options. Men with counts that are just slightly low (15-20 million) may be more reasonable candidates for varicocele surgery. Many couples with sperm parameters in this range will conceive on their own, as well. However, the female should also be evaluated prior to the surgery - if her tubes are blocked or she has anovulation (no ovulation), or an ovarian reserve problem, surgery on the male is not indicated.
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