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Suggest Treatment For Grade 1 Bilateral Varicocele

Posted on Thu, 7 Sep 2023

Question: Hi Sir,

I have grade 1 bilteral varicocele.. it is 2.2 mm in right testis (grade 1) and 2.8 mm in left testicles (grade 2). I recently done semen analysis report.
Semen volume -1 ml
Sperm count- 55 million/ml
Motility- 50% (active-30% , sluggish -20%)
Active motile-30%
Sluggish motile-20%
No motile-50%

The morphology is 90% in good shape. Only 10% abnormal.

Also 8-10 pus cells visible. No RBC.

Can you please tell me whether I will be able to father a child normally. Whether report is normal.
Please suggest medications/ treatment ?

Answered by Dr. Dr. U N Sahoo (2 hours later)

Brief Answer:
Semen analysis normal

Detailed Answer:

Hello,

As per your semen analysis report is concerned you can be a father of a child and your report is normal and you have 8-10 pus cells present so you need a course of prescription antibiotics.So at present, if you have no pain in your scrotum then no treatment is required at all.

If you have a varicocele that causes you minor discomfort then you might try the following for pain relief.

1)Take over-the-counter painkillers, such as Ibuprofen.

2)Regularly wear an athletic supporter to relieve pressure.

I hope that helps. Let me know if I can assist you further.

Regards,
Dr. Uday Nath Sahoo
General & Family Physician

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. U N Sahoo (21 hours later)

Thanks doctor for your reply. I had actually consulted an urologist directly and showed my report. He said that motility is low. The total motility should be 80% and active motility should be 50%.
But in my case, total motility is 50% and active is 30%. No motile is 50%. He gave medicines to improve motility. They are:
1) astymin forte
2) lycobal forte
3) carnisure 500 ( levocarnitine tabs)
4) evion

Please suggest me whether can I take this medicine or it is not needed. Please let me know whether my report is normal and will be able to father a child. Please help me out in this regard. Thanks..

Answered by Dr. Dr. U N Sahoo (40 minutes later)

Brief Answer:
Semen analysis report

Detailed Answer:

Hello,

As far as your query is concerned, your report is normal and total motility needed is 40% only so you can be a father of a child without repair of your varicocele. Regarding these medications, if you want then you can take a single multivitamin caps at night in place of all these medications because these medications are vitamin tabs only.

I hope that helps. Let me know if I can assist you further.

Regards,
Dr. Uday Nath Sahoo
General & Family Physician

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. U N Sahoo (37 hours later)

Thanks doctor for your kind reply. I am really feeling releived now. Wrt to medications, please see whether the below vitamin medicines are fine. Doctor said that these are to remove pus and improve vitamins in body.
1) yohifert
2) ferpill m
3) letovol

Please advise whether these medicines are fine and can I take it every night for few months.

Answered by Dr. Dr. U N Sahoo (45 minutes later)

Brief Answer:
Medications

Detailed Answer:

Hello,

As far as your query is concerned, please take all medications as advised by your doctor. There is no harm at all.

Hope I have answered your query.

Thank you.

Regards,
Dr. Uday Nath Sahoo
General & Family Physician

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Above answer was peer-reviewed by : Dr. Kampana