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Fathering a Child

I went to the hospital and after a spermogram the Dr declared me severely Oligospermic and severely asthernispermic. What do these realy mean? Does it mean I will never be able to father a child?  He also said I urgently needed a Varicocelectomy and later on an Hemorrhoidectomy. 1 Could there be any relationship between the two health problems. 2. Could the Varicocelectomy really have an effect on my sperm count that was very low 400 000 as opposed to atleas 20miliion required?. Is the sergery a really neccessary option for me to father a child?
Hope to hear from you
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Avatar universal
Sincerely I am impressed by your response. Could someone continue to give me more information on my question please?

Thanks
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Avatar universal
MEDICAL PROFESSIONAL
Hi.

Have you been diagnosed with a varicocele? During the scan or during a physical examination is there any mass in the scrotal area which denotes a varicocele?

Studies have shown that there appears to be an association between male infertility and the presence of a varicocele. "Varicocele is found in approximately 15% of the general population, 35% of men with primary infertility and in 75-81% of men with secondary infertility...Although most men with varicoceles are able to father children, there is abundant evidence that varicoceles are detrimental to male fertility. A study by the World Health Organization (WHO) on over 9,000 men showed that varicoceles are commonly accompanied by decreased testicular volume, impaired sperm quality, and a decline in Leydig cell function." Sperm count and development as well as delivery seems to be affected by the presence of the varicocele. With regards to whether surgical removal of the varicocele will be able to help, surgical removal is usually unnecessary except for men with "clinically detectable varicoceles associated with abnormal semen parameters ...following appropriate evaluation of the female partner. This includes men with azoospermia and very severe oligospermia."

Source:http://www.cornellurology.com/infertility/gi/varicocele.shtml

Varicocele and infertility has been shown to be associated with each other .Although studies do vary as this may not be  true in all cases, such medical conditions need to be dealt with on a case to case basis depending on elements and factors present.

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