<s>[INST] I am Male my age is 26 years old, i get married before one year, i didn t get baby, i go to doctor and he send me the lab and i give semen analysis: this is the result of my report please explain me and give me advance volume: 1.5 ml colour: grey white Appearance: Opalescent liquefaction Time: 30 Viscosity: thick Ph: 7.7 Total sperm count: 05 million/ml Active Motile: 40% sluggish motile: 35% non Motile: 25% pus cells: 10-12/HPF RBC: Nill/HPF Morphology: 45% Sample collection: inside the lab Opinion: Oligozoospermia. Dear doctor this is my result then my doctor send me Doppler Ultrasound. and the result was like this A moderate Varicocele is present bilaterally. the rest is normal. so he advanced me to go surgery what should i do? can you please help me what is the best way that i can get health fertility [/INST] hello welcome to HCM your semen analysis suggest a low count. \the motility is normal the doppler suggests a varicocele - usually if the veins are very much dilated only then surgery is planned. however the consultant has suggested surgery, hence he might have suggested it to you. if you do not wish to do surgery you can discuss with the doctor and they can prescribe certain medications which may help ( Co enzyme Q) if there is not not much improvement after medications,then surgery can be planned hope to have answered your query dr nandita thakkar </s>