Ok. great description of your problem. Do you have any problem presently? What is the total sperm count
per ml in the report - I did not find it here, Your sperm report is near normal. I dont think you need any treatment at all - no medicines and no surgery. There is no need for Varicocele
surgery if it does not cause any problems like a low sperm count
which I cannot establish in absence of absolute count. Feel free to let us know and will guide you further. Take care and relax.