I was diagnosed with an epidiymal cyst in my left testicle as well as varicoceles. I have had fertility problems in the past, mostly likely due to these issues. Am I correct in assuming that the varicocles would be the reason for my low sperm count and low motility because of increased temperature it may have caused? Additionally, the epidiymal cyst has gotten as large or larger than my testicle. I plan on having a procedure to correct the varicoceles. Would surgery to remove the cyst possibly hurt my fertility, possibly because of scar tissue formation post-surgery or because damage to my vas deferens post-surgery? Also, are there any not surgical or procedural remedies existing that could reduce the size of the cyst? I read that one patient, after warming and kneading his cyst, would apply pressure to it at the time of ejaculation. Is this something that could help to reduce it's size? Thank you.