When my DH went to see the urologist he just asked alot of questions about sauna use and things like that. Then he examined his testes and said he didn't feel a varicocele. Basically the doc said there is nothing they can do to increase his count and motility except try the natural herbs like fertilaid. He also said that men that are young and have abnormal semen analysis for no good reason happens and it could very well mean that their testes are prematurely reducing sperm quality.
My DH went to the Urologist and they just did a physical. They told him he has a Varicocele. Our appt really didn't go that well. The Urologist wasn't very helpful. Before the appt was over he basically just told us about options like surgery and him taking Clomid.