Bilateral varicocele with oligospermia

28yrs married man.. married since 5yrs... came with c/o infertility.. Working as tailor... Evaluation done and reports attached below.. Evaluation and workup done for wife and all reports wnl.. Kindly comment on the management.. Thank you..

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BL..VARECOCELE.. OLIGOZOOSPERMIA.. NEED'S.. SURGEONS OPINION FOR FURTHER MANAGEMENT.. EITHER.. NONSURGICAL.. T/T.. EMBOLIZATION.. OR.. SURGICAL INTERVENTION..

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Varicocele vas differens Pampnifirm plexuses This can be resolved by laser surgical intervention That can improve the flow Add tab clomiphen 50mg 1bd 5days per month for 3to5 months Cap gluton 600mg 1bd for 6months

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Advise Varicocoele ligation by surgeon Clomiphene citrate 25 mg daily for5 days in week for 3to 6 months Antioxidants

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Vericocoele ligation

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Oligoasthenospermia Surgery for varicocele. Then Fertyl M-25mg for a month along with ubiquinone, antioxidants for 3 months. Repeat Semen Analysis after 3 months.

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Varicocele grade 1, Bilateral

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