Conversation: The conversation between human and AI assistant.
[|Human|] i am male 28,on my infertility work up diagnosed with bilateral grade 2 vericocele, i had semen analysis 4 to 5 times. at first 40 million motility normal after sperm count deceasing to 25, 15, 20, 05 in further tests with all normal motility. i have no stress and psychological problems, all my harmonal reports lh,fsh,TT,TF, prolactin are normal but having elevated E2 is 92.29 pg/ml, having good erections but suffering low libido and no that much plesure in intercouse and while ejaculating. what to i do now doctor suggested surgery for vericocele is it required for bi lateral grade 2?
[|AI|]  Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. Surgery for varicocele, isnt guaranteed to reverse your low sperm counts. Your semen analysis, showed decreasing counts of 25 to 5 million/ml. With normal hormonal levels, you should consider ART.ART is assisted reproductive techniques, like GUI (intrauterine insemination), or CSI, whichs a type of IVF (invited fertilization), or test tube baby. Medical treatment with camphene citrate, Co-Q and lycopenes needed. If you've any doubts, send all reports to me, as a direct question.  Chat Doctor.  Manga.