### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
sir ,I had civier pain & swelling on my scrotum testicles (left side) 3yrs back and consulted an urologist. as he adviced i undergone the radio diagonosis the following are the impressoins of the same1) features of left epididymits and funiculitis,2) left mild hydrocele,3)left grade 1 vericocele,4) mild spermatocele formation of epididymis bilaterally. Dr. told me its an infection not a serious issue.I have followed his medicines as he prescribed.and get relaxed from the problem.but some time  it will comme again and after 2-3 days it become normal.so i didnt take much care.now I got married and after 1 yr of successful married life we were not blessed with child.then we consult a doctor he referd semen analysis and found low count 30.75% is dead.pus cells are 20-25. and scrotum left testicle is big in size and pain is there and scrotum temp is comparitively high. so at this point what should i do? pls advice me

### output:

HelloThanks for query. You have history of repeated episodes of Epididymitis on Left side, and now has been revealed to have low sperm count and presence of pus cells reported in semen analysis. There is no doubt that you have infection with Varicocele on left side that may be the cause of Oligospermia and infection and your infertility... Please consult qualified Urologist and get following tests repeated 1) Repeat Ultrasound Scanning of scrotum to trace out the present situation 2) semen culture done to find out organisms causing this infection 3) Color Doppler Ultrasound scanning of scrotum to find out grade of Varicocele. You may need to take long term course of antibiotics like Doxycycline to combat infection. Further treatment will depend upon the results of these tests. Chat Doctor. .