While many men with a low sperm count will also have poor sperm motility ( the two often co-exist, and this is called oligoasthenospermia), some men will have a normal sperm count, but very poor sperm motility.What about surgery to treat a varicocele ? Remember that many men with large varicoceles have excellent sperm counts and motility , which is why correlating cause (varicocele) and effect (poor sperm motility ) is so difficult. It is possible that the varicocele may be an unrelated finding in infertile men - a "red herring" so to speak. This means that surgical correction of the varicocele may be of no use in improving the sperm motility - after all, if the varicocele is not the cause of the problem, then how will treating it help? In fact, controlled trials comparing varicocele surgery with no therapy in men who have varicoceles and poor sperm motility have shown that the pregnancy rate is the same - so that it does not seem to make a difference whether or not the varicocele is treated ! The sad fact of the matter is that there is no method of increasing low sperm motility today! This is why modern management of a low sperm count uses assisted reproductive technology extensively. The modern protocol for managing male infertility is based on the man's motile sperm count; and on a simple test, called a sperm survival test. I advice you take another opinion or wait for three months before deciding to go for a surgery.

Yes. If ur colour doppler usg shows varicocele, better to get operated by good andrologist who has experience of micro surgical varicocelectomy.  Good surgery definitely improve, chances for pregnancy.

Hi there, If you've consulted with a surgeon and he's advised you to go for surgery, I'd recommend you to go ahead, since surgery is advised for varicocele only if it's causing complications such as in your case. There's a good chance then, that your semen analysis would show better results post the surgery. Good luck.