Low Sperm Count, Low Mobility, varicocele

Varicoceles

Varicoceles are dilated veins in the scrotum (just as an individual may have varicose veins in their legs). These veins are dilated because the blood does not drain properly from them. These dilated veins allow extra blood to pool in the scrotum, which has a negative effect on the sperm production. This condition is the most common reversible cause of male factor infertility and may be corrected by minor outpatient surgery.

Most experts do this microscopically to preserve the arterial supply and lymphatics. A sub-inguinal incision (about 1 inch above the penis and 1 inch from the midline) is usually used, as this avoids incising the abdominal muscles and creates less post-operative pain.

On the other hand.................

The surgical treatment of varicocele for low sperm count or altered morphology has been controversial.

Some noteworthy points on varicocele surgery and fertility facts include -

Varicocele with low sperm count that are not visible clinically and can be picked up only by ultrasound, if operated upon with the purpose of improving the counts is seldom likely to succeed. In a similar low count situation with a clinically apparent varicocele, the correction of the varicocele corrects the reduced sperm count and sperm morphology. There are many publications on this subject in the literature to support the surgery for this purpose.

Thanks, we have appoitment with his urologist next week to go over the options. Do you know anyone who did this surgery. Was it successful?

http://www.fertilityties.com/post/show/iui-before-varacose-vein-surgery

You can also try talking to Caryn.

http://www.fertilityties.com/profile/caryn-10-15-09