Hi, i'm 19 male . 175 cm . 78 kg .i ve bilateral varicocele .. I had scrotal high resolution ultra sonography &color duplex .. They revealed :

both testes and epididymes show normal size with normal echopatten vascularity . No focal lesions

the rt. Pampiniform plexus is dilated & tortuous with reflux on valsalva maneuver . The dominant vein measures 3.6 mm on valsalva maneuver in the standing position.

The Lt. Pampiniform plexus the same as the right but it's 3.5 mm

bilateral minimal simple hydoceles

no intra-scrotal hernial sacs could be detected

and i had a Casa test it showed :

conc. 160 million/ml

count / ejaculate 480 mil

progressive motility 50 %

motility ratio 60%

class A sperms (according to motility ) 20%

class B 30%

class c 20%

class d 30 %

normal morph. Sperms 75 %

TZI 1.00

SDI 0.45

vol. 3 ml

ph 7.4

white blood cells 1-3

rbcs 0-1

spermatogenic cells 0-1

n.b my testosteron-total is 3.8 before receiving treatment which is Daflon 500 .. 2 tablets per day

my qestions are :

1 - what is the level of my varicocele ?

2- Am I supposed to have surgery now ?it causes little pain

3- can i practice sport without increasing my varicocele ? What sports ?

4- what sould i do so that my varicocele doesnt increas ?

Thnx in advance .