Conversation: The conversation between human and AI assistant.
[|Human|] I am 32 years old , married 1 year before.2 semen analysis did, both with zero sperm count as resultFHS =10.3 , reference range 1 ~ 14Prolactin = 7.2 , reference range 1.2 ~ 19.2TSH = 1.9, reference range 0.3 ~ 5.5Scrotal usg & Doppler:-Right testis measures 3.2*2.1*2.3 cmLeft testis measures 3.1*2*2.4both test shows e/o microcalcification, vascularity is normalNo e/o focal lesionBoth epidermal heads are normal in size and echotextureMild right hydrocelePampiniform plexus of veins :-Right at rest = 2.1mm , Valsalva = 3mmLeft at rest = 2.3mm, valsalva = 3mmImpression:-Both testes are slightly reduced in size with microcalcifications- Bilateral mild varicocele- Mild right hydroceleQuery: is this condition curable with treatment or surgery?Do I need donor sperm?
[|AI|]  Hello there, Since both your testis are affected with varicocele and HY Chat Doctor.  They require surgery. Depending on your doctor he may do them simultaneously or one by one. After the surgery we give some time for your testis to recover and again check if they are able to make sperm. If not we take a biopsy of your testis(Which does not damage them in any way) and check if they are capable of making sperm. A short course of hormonal therapy may follow this. If still your sperm count does not restore then we will have to consider donor sperm. This is the protocol that doctors/surgeons follow. We go step by step and explore all options with you and ensure that you make the most of what you have. Hope this helps,