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

### input:
Hi doctor iam male 38 yrs age, i got married 7 months back from that time we are planning preganency.but not successful so i want for semen analysis and surprisingly i found the result as azoospermia with all other semen parameters normal.three days later i have given on more sample in apollo hospitals even it said the same.so i almost confirmed it as azoospermia.doctor had given me all the hormonal tests which are normal (TSH,LH,FSH AND MANY MORE).color dopler scrotum and testis, it had given impression as left grade 2 vericocele, left spermatocele in epididymal head.just with one day gap i have given one more sample for analysis,culture and sensitivity in the same hospital(apollo).this time the sample was only .5ml and suprisingly the result was .1 millions/ml,rapid progressive motility 0%,slow progressive motility 60%, non progressive motility,0%,non motile sperms 40.Sperm viability: live sperms 65%,dead sperms 35%, WBC .2.so now what treatment should i take?what should i do now.shell go for vericocele correction? which method will be good?.can this count be incresed to normal by any treatment? please advice me.Thank you.

### output:

Hello In your case the situation is very delicate because you are not a case of AZZOSPERMIA rather I will call as a case of oligospermia. I will try to explain few facts about sperm production and infertility (in male) . Subfertility is seen with sperms count Now, how sperms produces and where? Sperms production happens in the Sector cells of the seminiferous tubules of the TESTIS & EPIDIDYMIS. In your case varicocele present and this is one of the most common cause of INFERTILITY in male Operation (surgery) for varicocele is indicated in patient who have .1 SPAIN & 2 SERIOUS DEPRESSION OF SPERMATOGENESIS (OLIGOSPERMIA) as in your case. I recommend you consult a surgeon and get surgery and thereafter think about fertility. Hope this information will be helpful for you.