After above semen analysis my doctor without giving any antibiotics he advised me to go for ULTRASOUND and the report is given please advice. BOTH TESTES : appears average in size showing normal homogenous echopattern, No masses, cyst or abnormal calcification are seen The Rt. testis measures 40 x 18 mm. The Lt. testis measures 41 x21 mm. THE EPIDIDMYSIS : appears sonographically normal with no evidences of masses , cysts or abnormal calcifications are seen. THE TUNICA VAGINALIS : shows normal sonographic appearance with no evidences of hydrocele are seen. LF. pampiniform plexus showed MILD DILATATION,with average diameter = 3.Ogmm. No reflux was noted. Rt pampiniform plexus showed MILD DILATATION, with average diameter = 3.04mm. No reflux was noted.OPINION BILATERAL MILD VARTCOCELE WITH NO RELUX. After this report also he didn t given any antibiotic and he told me that i need operation. Do i need any operation or i can solve above given problem with antibiotic. waiting for your reply. thanks