Hi, Varicocoele by itself does not need treatment unless it is proven to be the cause of low sperm count and male infertility. It usually never causes severe pain, so please do not consider surgery for varicocoele for pain relief alone. You can get a sperm count by a proper semen analysis done (after 3-4 days of abstinence) from masturbation at a good lab which specializes in infertility work. If the quality of sperm is poor, you may need to get a more detailed evaluation...Consult nearest surgeon they will do the needful.