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

### input:
Am  Jayan from kerala 41 aged married man, 7 years completed I have low sperm count and quality. now am consult a doctor after scanning varicocele confirmed . Kindly give me an advice to recover my problem Test Result on 17/01/2017 Total Sperm Count 7.0 Total Sperm Number 11

### output:

Hi Japan, Male factor is the commonest cause for infertility. Varicocele alone is not a cause for infertility. Only when all other possible causes have been ruled out, varicocele should be blamed. I assume that repeated semen analysis showed a poor count & quality. Before going for higher management try to remove the cause for the poor sperm quality. Only healthy sperm can give a healthy baby. Kindly confirm if1.your blood sugars/ Serum Thyroid & Prolactin are normal 2. Reduce body weight, if you're on to overweight 3. Avoid smoking(even passive smoking) / alcohol/ any other substance abuse4. Have cold water bath 2-3 time / day if possible5. Try methods to reduce mental stress(I know it's easy to say, but tough to practice)- by meditation, Yoga6. Kindly repeat semen analysis from an infertility center- with abstinence not less than 3 days & not more than 6 days. If they report any infection / WBC/ Pus cells above normal, you will need a course of antibiotics for 2 weeks. Expecting your wives tubal factor & ovulation factors have been ruled out. Since you are married for 7 yrs, after this basic evaluation & treatment you can try GUI with good hormonal induction & support. In GUI they wash the semen & separate the healthy sperms & keep it close to the waiting egg. Pregnancy chances are 4 times. Even after 3 GUI if you don't get a positive result you can go for IVF, where only the healthy sperm is selected.Don't worry, The lowest count for which I could get a pregnancy was 5 million. All the best Chat Doctor. 