Is varicocele linked to infertility?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have varicocele. It does not hurt or anything, and I never actively tried to impregnate a woman. So I do not have any idea if I am producing proper sperm but are varicoceles linked to infertility? I took a home sperm test, and I saw a faint line come back positive.

Answered by Dr. Goswami Parth Rajendragiri

Hello, Welcome to the icliniq The varicocele is one of the cause of infertility. It can decrease sperm count. So rather than doing home test I suggest you get checked your semen analysis in nearby pathology or andrology laboratory. You can revert back with reports once done. Hope I have answered your question. Take care

Patient's Query

my results: 113 million sperm count 44% motility 9% morphology

Answered by Dr. Goswami Parth Rajendragiri

Hello, Welcome back to the icliniq. Com Your sperm motility can be considered low. Here in the mentioned history you have not mentioned percentage of active motile sperm. The concentration of active motile sperm is important for doing conception. So kindly mention actively motile sperm percentage. The sperm count and Morphology is within normal range. If your active motile sperms less like that of less than 40% than get treated your varicocele by urologist means urosurgeon. Hope I have answered your question. I w'll be happy to help you further if required. Best regards.

Patient's Query

But I told you that my motile sperm is 44% That’s over 40% Isn’t that enough for conception? Is there anything else I can do to increase motility naturally without surgery?

Answered by Dr. Goswami Parth Rajendragiri

Hi, Welcome back to the icliniq The motile sperm is divided into actively motile sperms and sluggish motile sperm as well. If among your 44% motile sperm majority are in sluggish motile sperm than it might creat problem in conception. So mention percentage of active motile sperm or attach the semen analysis report to comment further. The varicocele cannot be treated by medicine. You can take more fruits and green leafy vegetables. Hey Forte like L arginine and zinc containing tablet can be used for increasing sperm motility. Hope I have answered your question Let me know if I can assist you further Best regards

Patient's Query

--file attached--

Answered by Dr. Goswami Parth Rajendragiri

Hi, I have checked your attached semen analysis report. The sperm motility is within range in attached report. The majority sperms are in forward progression motility. So you are having normal percentage of active motile sperms. The sperm count and Morphology also within limit. Hence you may need not to worry about conception according to your attached report. Hope I have answered your question I w'll be glad to help you further if needed. Best regards.

Patient's Query

what does it mean when it says my viscosity is abnormal? also, I am glad my motility is within normal range but it is only 4% over the minimum normal range, is there a big chance it will get worse? What is the average motility for men? and is there a way I an increases motility by excersizing or taking vitamins?

Answered by Dr. Goswami Parth Rajendragiri

Hello, Welcome to the icliniq The viscosity can be abnormal because of seminal vesicle or prostate problem. But you don't have such history. If you want to do further work up for that than ultrasonography pelvis and transrectal USG can be done with special emphasis on prostate and seminal vesicle. Your sperm motility is within range. It is only mild high but it will not creat any problem in conception according to my opinion. It cannot be predicted whether it will worsen in future or not. The average motility of normal person is above 40%. If active motile sperm is more like that in your case than there is usually no problem in conception. Maintain sperm motility with good nutrition diet like green leafy vegetables and fruits. You can take becosule or riconia forte like tablet for one month to increase sperm motility. If in future motility goes further down than Hey Forte like L arginine and zinc containing tablet can be taken. Hope I have answered your question. Let me know if I can assist you further. Best regards

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Answered by Dr. Goswami Parth Rajendragiri

Medically reviewed by Dr. Nithila. A

October 4, 2019

January 25, 2023

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Dr. Goswami Parth Rajendragiri

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