Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is- Your current health issues seem to be due to -possible aggravation of the Spermatocele after your first son, where you should feel lucky, that despite of spermatocele you concieved. But other possibility of having STD causing Spermatocele needs to be ruled out as the cause of your non-conception. Hence Other causes-as cited above- need to be ruled out,by verification with Surgeon and Urologist. Do s- Consult with Urologist / Surgeon who would investigate history and physically examine to fix the cause of testicular itchiness. USG scrotum with Color Doppler Study would fix either of theses causes in your case. LCr blood test / Urine test would fix the gonorrhea and Chlamydial infections as being the cause of the non-conception. Treat with full course of -Doxycycline , if no relief, change to Azithromycin and complete the treatment with Urologist and dermatologist. Only after this you plan for the conception in your case, as this infection is the cause of non-conception if fixed as told above. This would fix the cause of non conception,amongst the above or other possibilities. You need to treat it with Urologist and dermatologist , which should be done on priority and urgently to avoid further complications. This would resolve the complaints of your s. Constant follow-up with local family or specialist Urologist and dermatologist for long term would give you long remissions of such pains in time to come,which would depend on meticulous follow-up treatment of your health concerns. Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. For early recovery-please follow above do s which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link- http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Wishing Good Healthy Life!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS