Thanks for your query.
I have read your query & I understand your concerns.
The surgery for varicocele
will not improve sperm count
to great extent.
Please repeat the semen analysis
after 3 months to check for improvement.
In you case I would suggest you to go ahead with IVF procedure.
I hope I answered your query. I will be available for any followup queries you have.
IVF & Infertility