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for pregency// sperm

i am manjeet. after marriage i have no child so  i did my tests. before two month  i done my sperm analysis test and ulterasound ,
i write here my all reports :
sperm analysis:
total value :3.5  ml
reaction  :alkaline
consistency : viscid
liquifaction time : within 30 minutes

morphology :.......
normal : 80 %
abnormal : 20 %
sperm count: 32.0 millions/ml

microscopic:
wbc  6-8    /hpf
rbc  1-2   /hpf
epithelial cells  :  few
motility   1st houur         3rd hour
active        40                        10  %
sluggish   10                        15   %
non-motile  50                       75   %
  
now its my u/sound report
SCROTAL DOPPLER SONOGRAPHY:
1: right testes measures 42*18mms.
2: left testes measures 40*17mms.
they show smooth homogenous ecopattern.no focal solid or cystic mass seen in it.
3;both epididymis measures within normal limit,no focal abnormality seen in them.
4: no hernia or hydrocele seen.
5: colour flow examination reveals normal vascularity of both testes and epididymis.
6;the peritesticular veins of the pampniform plexus of veins of the left side are dilated nd tortuous which becomes more prominent with valsalva manouvre . the veins of the right side appears within normal limit.

IMPRESSION:: Ultrasound doppler examination of scrotum reveals:
, left sided varicocele (moderate degree- 4.1 mm).

its my report, dr. told me here u need varicocele
surgery, one point more i have no any pain in my      down balls. i told this also dr. but he told me if u done this surgery your sperm motility can be increase now its 40 % after this its can be 60 %.
so now i want to ask its true ,,motility can be increased?
tell me also after surgery in future have no any risk or no any prob.
plz tell me also , in new delhi which hospital i will do this surgery,,nd cost also.
one more if i no do this surgery my sperm count nd motility can do pregeancy?  can i make baby?plz.guide me as soon as possible ,i m waiting ur  best advice. if possible plz. write in hindi  in english .. thanks
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Avatar universal
hello madam,
thanks for reply madam. now i am thinking also for baby. those i write up my sperm quantity/ motility  its enough for making pregnancy? but i have no pain down my balls so i need or no need this varicocele  surgery? can you will do this surgery? pz. give me some tips for making pregnancy.
thanks
Helpful - 0
134578 tn?1693250592
It is always a good idea to get a varicocele corrected.  It does improve your situation in relation to sperm; varicoceles warm the testes and cause the sperm to die from the heat.  However, your report does not say it is severe, but that it is moderate, so if money is of primary concern you could keep trying to have a baby the way things are right now.  I would try to get the varicocele fixed in the next year or so.
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