Brief Answer:
Color doppler - surgery if required.

Detailed Answer:
Hi.
Thanks for your query.
Noted your history of varicose veins problems in the scrotum, called as varicocele.
You are trying for a baby for the last 4 months but not successful.

Obviously, the management of such a case is a step by step approach:
- First of all get the semen analysis report. Give the sample after 5 days of abstinence (no sex- no ejaculation). Get the next test from another laboratory to have a comparison/ confirmation if the sperm count is less as well as there are some problems in the sperms morphology and so on.

Please post the color doppler and ultrasonography of the scrotum report to know the grade.
Please tell me if you have any pain or heaviness in the scrotum?

If the sperm count is less than normal or if the morphology is disturbed, the only way is to get operated to get the varicocele reduced/removed and the testis pulled up in the normal position.

This may improve the sperm count and quality.

I hope this answers your query, please feel free to give feedback, ask further relevant queries if you need to or if you feel that there is a gap of communication.

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Brief Answer:
Please get the reports done.

Detailed Answer:
Waiting for your reports.
If the varicocele operation is done properly it will help to improved the sperm quality and quantity.

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Brief Answer:
I will try to tell you the best Doctor

Detailed Answer:
Actually I do not know a particular Doctor in XXXXXXX who does this operation masterly, please consult out office, they can tell you or if you want I can get from my sources. You may please continue the conversation.
Please post the reports if you have.

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