Bilateral Vericocele Grade 3. For this?

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Your semen analysis parameters are normal except morphology which you are already aware of. Your testicular volume is slightly on the lower side of normal range but not low. 2 things should be kept in mind regarding varicocele surgery, 1st surgery is done in symptomatic cases and 2nd in cases of male infertility where sperm parameters are abnormal but surgery doesn't warrants fertility. I'll try to answer your questions now. 1. Surgery for varicocele doesn't warrants good fertility. Many grade 3 patients doesn't undergo sugery. Need of surgery is determined by above 2 important factors. 2. Observation or treatment can't be decided just by looking at reports. If you have symptoms or If you are trying a baby despite having unprotected sex for 1 years then surgery may help you. An urologist will help you in this case. 3. Not very concerning as your other parameters which are more important is normal 4. Definitely yes 5. Not much 6. Yes this is what I told you in those 2 things 7. Micro surgical is gold standard but not done at all the places 8. Urokul is a legendary dedicated urology centre in Pune. Consult there. Hope this helps

Your reports need a personalized evaluation. With normal count/motility and tolerable pain, observation may be reasonable, but Grade 3 bilateral varicocele often warrants discussion of microsurgery, especially if fertility is a concern. Consult for discussion and treatment

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