<s>[INST] I am RAJE,Female,24 yrs..I had a polycystic ovaries and I have done follicular study for 2 times as well as HSG also and for my husband age -30-he has count -110 & motility as 25-28...so Doctor referred him for Scrotalscan with Doppler-In that report Left side Varcicole is mentioned......What to do for next step Thanking You Warm Regards RAJE [/INST] Hello First about Varicocele:Operation for VARICOCELE is not indicated unless there is :(1)pain;(2)serious depression of spermatogenesis (oligospermia ) . In your husband there is abnormality in count as well motility so I advise you please get in surgery for varicolcele for your husband. This will not only improve quality of sperm as well counts .Now about PCOS ( Poly Cystic Ovarian Syndrome ) :Cysts are often caused by hormone changes .Using birth control pills can sometimes help regulate hormone levels so that cysts can be taken care of.Your gynae will likely want you to come back ( after the use of oral pills ) after you have been on the oral control pills ( some doctor also advise cyproterone acetate for this purpose)to see if the cyst is gone.At that time doctor may suggest you stop using the medication or if indicated , you amy need to continue it for a bit longer .So for you consult an INFERTILITY specialist and get his opinion and surgery for your husband.Hope this will help you. </s>