I am thinking to have Varicocele surgery, would it help ?

Hi Dr,

I am (…) located in Pakistan.

Age: 33

I have a 3rd level vericocele in my left testicle, I got married 2 and half years ago but not able to get my wife pregnant.

I did Semen tests:
1 – Ist test : Count : 15mil (A grade Sepm:0)
2 – Second Test: 5 mil (A grade Sepm:0)
3 – Third Test: 3 mil (A grade Sepm:0)

My Testosterone and FSH was normal. Didn’t remember the other factors.

Last month, I went for IVF and my wife got pregnant, Wife 1st and second test (BHCG) was great, but unfortunately her BCHG level decrease and then she miscarriaged.

Now, I am thinking to fix my Varicocele, So is it worth full to fix it. will it increase the sperm count or Motility ? Do i need to do that ?

Dr. Ayman Darrag
Member
Dr. Ayman Darrag

In my opinion . sperm count of less than about 5 million per cc, or the motility below about 30% will most likely need IVF with ICSI in order to conceive. varicocele surgery is probably not a viable option for you with such low numbers.
An infertility doctor should be consulted for improving the quality of sperm.
When they are 15millions or more a varicocelectomy can be good option for you.
Thanks

Dr Ahmed Fawzy
Member
Dr Ahmed Fawzy

In my opinion your sperm count per mililiter in first time is border line , doing the surger can cause your first test to be 35 , second to be 12
Also sperm DNA will be less fragmented allowing for higher chance of having a normal baby

Giving you higher chances to have a baby

Good Luck

Dr Mahaveer
Member
Dr Mahaveer

hi
varicocele surgery won’t cause any benefits due to sperm derangements.
ivf is the best option.
consult a andrologist.
thanks

shw12
Member
shw12

HI
VARICOLCELE SURGERY WILL HELP TO SOME EXTENT BUT WONT BE ENOUGH DUE TO ABNORMALITIES IN THE SPERMS.
HEALTHY DIET AND EXERCISES WILL BE HELPFUL ALONG WITH HIGH PROTEIN DIET.

mrsshalini14
Member
mrsshalini14

hello there
i would suggest you to delay this surgery at the moment.
varicocele surgery will not have major beneficial effects on your body.
ivf must be sort for at present.

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