<s>[INST] Hi doctor, I am a 35 year old male, who is suffering from infertility. I got married three years back, and we have tried to conceive ever since. Recently, I consulted a  urologist here, and he asked me to get a semen, Doppler scrotal, and thyroid tests done. I am attaching the reports. I took the scans and consulted him again. The sperm count is 1 million, and one year back it was around 9 million. My right testis volume is 10, and the left testis volume is 8. I do not have any thyroid problem, sugar, or BP issues. After seeing my reports, the doctor told me to go for varicocele operation. I would like to know if this is a major issue? Do I really need to go for this operation? Can this be cured without surgery? Please let me know your suggestions on this. Thank you. [/INST] Hi. I read your query and understand your concerns about low sperm count and bilateral varicocele. I hope this answers you. Feel free to write back to me if you have more questions. Thanks and regards. For more information consult a sexologist online --> </s>