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Treatment for Infertility due to varicocele - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hello, we have been trying to conceive for the last 3 years and still looking for the solution to our problem, my wife is consulting a specialist, and on my side I run some spermogram studies to see what the numbers where, so this is what I got so far, Volume: 4.5 ml; Count: 124.500.000 per ml; Motility: 15% (Fast Linear Progression), 25% (Slow Linear Progression), 30% (without linear motion), 30% (dead); Morphology: 70% (Ref: 30%). What's your opinion of this, is it ok ?
User :   Doctor, you there ?
Doctor :   Hi
User :   ok please read above
Doctor :   May I know your age?
User :   37
Doctor :   Ok
Doctor :   Let me explain.
User :   I have already have a daughter
User :   yes
Doctor :   Your sperm count is normal,
User :   How about motility ?
Doctor :   however the percentage of rapid progression is slightly lower.
User :   I see
Doctor :   An average normal individual has 50% rapid progression
Doctor :   Having said that,
Doctor :   the chances of fertility is affected
Doctor :   if the rapid progression is below 20%
User :   I have on Fertailaid (pills) for the last month and a half
Doctor :   Ok
User :   An ultrasound shows I have a Varicocele
User :   Should I undergo surgery ?
Doctor :   may I know the grade of varicocele.
User :   The local uroglogist graded it as a high grade of varicocele
Doctor :Varicocele correction helps in improving motility if the grade is higher than grade 2
Doctor :   So if your urologist feels the grade is above 2 and more,.
Doctor :   than you can consider the surgery.
User :   I am downloading the doc now
User :   The left testicle shows varicocel
User :   the size of the varicocele ranges from 2.5 to 4 mm
User :   And it is regarded as incipient varicocele
Doctor :   IThe grade of the varicocele is determined by various factors.
User :   The are no evidences of varicocele on the right testicle
Doctor :   As a general physician,
Doctor :   my knowledge on those factors are limited.
Doctor :   You can discuss with your urologist
Doctor :   who after physical examination and scan reports can help you with this query.
Doctor :   You need surgical treatment, if the varicole is above 2 nd grade.
User :   It doesn't mention any grade
Doctor :   Some urologist may consider biopsy before the surgery.
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