Question: Hello, I am XXXXXXX 31years old man/Unmarried. Currently, I am with a marriage plan soon so before that, i thought to have premarital checkups. My doctor, who is an urologist has suggested some number of tests on month of Nov, 2012. Everything gone well except 1 test, that is Semen analysis test. The semen analysis test which i had done on month of November, 2012 has following measures: 1) Sperm count: 67 mill/ml 2) Normal forms: 94% 3) Motility - Progressive: 55% 4) Pus cells: 10-15 Referring to the measures, he advised me some antibiotics for 15 days to treat pus cells. After the above course, before my review consultation, I have done 2 tests like: semen analysis and Doppler scrotal test. The current semen analysis test measures are: 1) Sperm count: 40 mill/ml 2) Normal forms: 97% 3) Motility - Progressive: 60% 4) Pus cells: 1-2 The measures of current Doppler scrotal test. Bilateral grade 1 varicocele Now my questions are: 1) Is Bilateral grade 1 varicocele is severely to damage my sexuality and fertility? 2) Is Bilateral grade 1 varicocele the reason for my sperm count from the previous lab result, which I had done a month back difference? (though my current life style and personal life are really stressful) 3) Is Bilateral grade 1 varicocele can cause permanent infertility? 4) If Bilateral grade 1 varicocele not treated then is there any chances to develop further grades of varicocele? 5) Any oral medication can help me to treat Bilateral grade 1 varicocele? 6) As per the lab references my sperm count is normal but what should be the sperm count measures for a health 31 year old man and for healthy fertility? 7) Finally, my doctor said that, I should go for a micro surgery to treat Bilateral grade 1 varicocele.. But I not faith completely on this as: a) I came to know from the radiologist, who did may scanning as: Bilateral grade 1 varicocele is common and does not required any treatment. people can maintain a healthy married life by having Bilateral grade 1 varicocele. b) Additionally, it is well know to me as I have this Bilateral grade 1 varicocele from last 2 years but at that time my sperm count was almost 90mill/ml but it falling to 50% less may be some other reasons? Please suggest on the above queries and suggest also what shall i do now as i d not have much time left for the surgery and surgery also fells me risky. thanks, XXXXXXX