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How Does Bilateral Mild Varicocele Affect Sperm Count?Varicocele

6 months ago

I have bilateral mild varicocele, sometimes shown as varicocele grade 2 in reports, and I’m worried about reduced sperm count, too. How to increase sperm count with a varicocele medically? Does my symptom require microscopic varicocele surgery? Also, is a hydrocele different than a varicocele, or are they related conditions?

Asked By Aditya Singh | Male | Age 43

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6 months ago

Answers (1)

Dr. Sajeet Nayar

MBBS, MS - General Surgery | 22 Years Experience Overall

Answered 11/04/2025

As a doctor, I want to clarify a few important points. Bilateral mild varicocele (grade 1–2) can sometimes affect sperm count, but many men remain fertile. In some cases, lifestyle measures, like maintaining a healthy weight, avoiding heat exposure, reducing smoking and alcohol, may help optimize sperm health, but they do not treat the varicocele itself.

Hydrocele is a different medical condition, and refers to the fluid around the testicle, whereas a varicocele is enlarged veins in the scrotum. Microscopic varicocele surgery is usually considered only if the varicocele is causing significant symptoms, pain, or fertility issues.

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