Bilateral Vericocele Grade 3.

My main concern is fertility preservation and whether conservative management can still work in my case.Ultrasound / Scrotal Doppler: * Grade III varicocele on both sides * Right testis: 3.9 × 1.7 × 2.4 cm (8.1 cc) * Left testis: 3.8 × 1.7 × 2.4 cm (8.6 cc) * Vein diameter: * Right: 3.2 mm * Left: 3.8 mm * Reflux present during Valsalva * Dilated veins seen mainly in standing position Symptoms: * Mild right-side pain started around end of March * In the last 2 weeks pain became bilateral and more noticeable * Pain is tolerable and does not disturb sleep Semen Analysis: * Volume: 3 ml * Sperm concentration: 72 million/ml * Total sperm count: 216 million * Total motility: 83% * Progressive motility: 79% * Morphology (normal forms): 2% * Diagnosis: Teratozoospermia Hormones: * FSH: 5.28 (normal) * LH: 5.67 (normal) * Testosterone: 3.46 ng/ml (normal) How many cases have you seen where surgery/embolization was NOT done and fertility remained good long-term for Grade 3 Vericocele