Hello Satya Tammina,
Thanks for posting,
I will talk to your frankly. Sperm count
of less than 20 Million/ml (newer definitions state
The cause of this is the bilateral varicocele
that you are having and you will be required to undergo a surgical intervention + hormonal
therapy in order to improve on your sperm count, quality, motility etc.
You will need to consult with a urologist
for proper evaluation and management.
Hope this helps