welcome to HCM
your semen analysis
suggest a low count.
\the motility is normal
the doppler suggests a varicocele
- usually if the veins are very much dilated only then surgery is planned.
however the consultant has suggested surgery, hence he might have suggested it to you.
if you do not wish to do surgery you can discuss with the doctor and they can prescribe certain medications which may help ( Co enzyme Q)
if there is not not much improvement after medications,then surgery can be planned
hope to have answered your query
dr nandita thakkar