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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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Does Varicocele Bilateral Grade 2 Require A Surgery?

i am male 28,on my infertility work up diagnosed with bilateral grade 2 vericocele, i had semen analysis 4 to 5 times. at first 40 million motility normal after sperm count deceasing to 25, 15, 20, 05 in further tests with all normal motility. i have no stress and psychological problems, all my harmonal reports lh,fsh,TT,TF, prolactin are normal but having elevated E2 is 92.29 pg/ml, having good erections but suffering low libido and no that much plesure in intercouse and while ejaculating. what to i do now doctor suggested surgery for vericocele is it required for bi lateral grade 2?
posted on Fri, 14 Mar 2014
Twitter Fri, 2 Sep 2016 Answered on
Twitter Sat, 3 Sep 2016 Last reviewed on
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Urologist,  's  Response
Hello and welcome to HCM. As an Urologist,i can understand your anxiety.
Surgery for varicocele,isn't guaranteed to reverse your low sperm counts.
Your semen analysis,showed decreasing counts of 25 to 5 million/ml.
With normal hormonal levels,you should consider ART.
ART is assisted reproductive techniques,like IUI (intra uterine insemination),
or ICSI,which's a type of IVF (in-vitro fertilisation),or test tube baby.
Medical treatment with clomiphene citrate,Co-Q and lycophene's needed.
If you've any doubt's,send all reeports to me,as a direct question.
Dr.Matthew J. Mangat.
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Does Varicocele Bilateral Grade 2 Require A Surgery?

Hello and welcome to HCM. As an Urologist,i can understand your anxiety. Surgery for varicocele,isn t guaranteed to reverse your low sperm counts. Your semen analysis,showed decreasing counts of 25 to 5 million/ml. With normal hormonal levels,you should consider ART. ART is assisted reproductive techniques,like IUI (intra uterine insemination), or ICSI,which s a type of IVF (in-vitro fertilisation),or test tube baby. Medical treatment with clomiphene citrate,Co-Q and lycophene s needed. If you ve any doubt s,send all reeports to me,as a direct question. Dr.Matthew J. Mangat.