Conversation: The conversation between human and AI assistant.
[|Human|] Hello this is venkat from vellore I am aged 44 yearsi  had vercocele before 15 years  i had ayurvedic treatment at that time and i do have one female child aged 14. i do have doubt even know on me having vercocele problems, because my wife has not concived even with regular intercourse
[|AI|]  Hello, Varicocele is the most common cause of infertility in men, and it is also the common cause of secondary infertility. Secondary infertility is defined as having infertility after being able to conceive a child.  This is explained because varicocele causes gradual damage to the testes and abnormalities in the semen parameters.  I suggest you do get an ultrasound, semen analysis to determine if you still have a varicocele and get the necessary treatment to improve your chance fertility. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.