varicocele and tests results

**Hayder H** · 01-12-2015, 11:15 AM

Hello everyone
regarding to my old thread I did the doppler test and the doctor told me that there is varicocele in my leftside testis and he said " I dont recommend doing the surgery unless it effects on the sperm or the fertilization " my seminal analysis :
quantity : 2.5ml
reaction : alkaline at ph 7.2
viscosity : viscous after 30 min at 37 C
spermatozoa count : 60 million\ml
active motile : 55%
sluggish activity 25%
immotile : 20%
morphology 60% normal -40% abnormal
pus cells : nil\hpf

Now I feel lost so what should I do or what do you suggest for me ? plz

Thanks for all

**kelkel** · 01-12-2015, 11:54 AM

How has it effected your test levels?

**Hayder H** · 01-12-2015, 01:07 PM

Originally Posted by kelkel

How has it effected your test levels?

You mean these levels, do you ?

testosterone 3.2 pg/ml normal value(2.5-10)
FSH 21 mIU/ml normal value(1-14)
LH 16 mIU/ml normal value (0.7-7.4)

**kelkel** · 01-12-2015, 01:38 PM

Damn, look at that. It shows your pituitary's ramped up production of LH & FSH in effort to get your testicals to produce more test, which it's failing at. Looks like you need to consider getting it fixed, imho. Obviously your doc doesn't seem to care about your Test level.

Varicocele repair for low testosterone. - PubMed - NCBI

**Mr.BB** · 01-12-2015, 02:11 PM

^^^ listen to Kel

Seems you need new doctor

**Hayder H** · 01-12-2015, 02:52 PM

Originally Posted by kelkel

Damn, look at that. It shows your pituitary's ramped up production of LH & FSH in effort to get your testicals to produce more test, which it's failing at. Looks like you need to consider getting it fixed, imho. Obviously your doc doesn't seem to care about your Test level.

Varicocele repair for low testosterone. - PubMed - NCBI

Just one last thing plz, what will be the consequences on the pituitary during time if I stay on this situation and what is the relation between test level and sperm I mean is it necessary for the test to be normal because the sperm is normal and vise-versa cause many doctors when they see the testo levels they say show me seminal analysis and they decide on it's results if its normal they say nothing wrong with you and neglect test levels

some research said if there is no pain or infertility there is no need for the varicocelectomy surgery !!

**kelkel** · 01-12-2015, 03:57 PM

It'll just keep trying as it's not getting the feedback it thinks it should. Yes, there is a relationship between test and spermatogenesis but it will not always be balanced or linear.

Correlation between follicle-stimulating hormone, luteinizing hormo... - PubMed - NCBI

Know that most docs do not know hormones. Their title really doesn't matter unless it says A4M Certified.
Sure, probably no need for surgery regarding sperm count as it only takes one swimmer. The issue is your low T.
There is no reason to accept Low T in this day and age. As long as all else is ruled out via blood work I'd be getting a second opinion re your T level.

How do you feel?
How old are you?
Height / Weight / App. Body Fat %?

Take this test:

http://www.landerurology.com/pdf/adam_questionnaire.pdf

**Hayder H** · 01-13-2015, 01:29 AM

Originally Posted by kelkel

It'll just keep trying as it's not getting the feedback it thinks it should. Yes, there is a relationship between test and spermatogenesis but it will not always be balanced or linear.

Correlation between follicle-stimulating hormone, luteinizing hormo... - PubMed - NCBI

Know that most docs do not know hormones. Their title really doesn't matter unless it says A4M Certified.
Sure, probably no need for surgery regarding sperm count as it only takes one swimmer. The issue is your low T.
There is no reason to accept Low T in this day and age. As long as all else is ruled out via blood work I'd be getting a second opinion re your T level.

How do you feel?
How old are you?
Height / Weight / App. Body Fat %?

Take this test:

http://www.landerurology.com/pdf/adam_questionnaire.pdf

I'm 25 age 154 lb 6.13 ft tall , single, normal diet
I worked out more than half two years and for the last two months i started feel my body has no energy with exhaust and tired while working out, during that period I gained only 8 lb and I've lost it after 1 month after I quite lifting , now i'm not lifting

And for the test most of my answers are yes

**kelkel** · 01-13-2015, 07:50 AM

Well, step one is to find a doctor to discuss getting your varicocele fixed in hopes of restoring your levels.

Varicocelectomy: microsurgical inguinal varicocelectomy is the treatment of choice

Step two would probably be TRT if that failed. Odds are you'll see a significant difference from the procedure and it will make a huge impact in all aspects of your life.

**kelkel** · 01-13-2015, 08:45 AM

Hayder please keep us updated on your progress on this thread. It will help other guys without question.

**Hayder H** · 01-13-2015, 01:06 PM

Originally Posted by kelkel

Hayder please keep us updated on your progress on this thread. It will help other guys without question.

Sure I will, and I really appreciate your help thank you so much

**Hayder H** · 01-17-2015, 10:07 AM

The doppler report

**kelkel** · 01-17-2015, 01:16 PM

I can't read what's written at the bottom?

**Hayder H** · 01-19-2015, 09:28 AM

Originally Posted by kelkel

I can't read what's written at the bottom?

It's written no varicocele !

I dont know what on earth is going on, one doctor told me you have varicocele and the other with the doppler report said you dont have ... now its a dilemma

**kelkel** · 01-19-2015, 10:26 AM

Sounds like you need another opinion, unfortunately.

**Hayder H** · 01-19-2015, 10:35 AM

Originally Posted by kelkel

Sounds like you need another opinion, unfortunately.

But the doppler showed no varicocele, the diameter was 1.2 mm when I did the doppler

Should I do another doppler test ?

**kelkel** · 01-19-2015, 02:27 PM

Totally your call. Maybe take the pic to another for an opinion. Doc's can interpret things quite differently on occasion. It's about you being satisfied in their conclusion.

**Hayder H** · 01-25-2015, 02:36 PM

I found this "Considering I did a clomid challenge test and testosterone went through the roof. My thoughts are if varicocele cause low test it should have stayed low even when on clomid. "

Did he mean that if someone wants to know the cause of low T he should do clomid and if T stayed low then its because of varicocele and if not then low T cause of another thing ? what do you think ? plz

**Mr.BB** · 01-25-2015, 09:42 PM

Originally Posted by Hayder H

I found this "Considering I did a clomid challenge test and testosterone went through the roof. My thoughts are if varicocele cause low test it should have stayed low even when on clomid. "

Did he mean that if someone wants to know the cause of low T he should do clomid and if T stayed low then its because of varicocele and if not then low T cause of another thing ? what do you think ? plz

Your LH is already high so clomid will not do much for you.

**Hayder H** · 01-27-2015, 07:37 AM

The past T results was gotten on 31.08.2014 and before that date I was working out for about 3 years then after I saw that the result is not within the range I left the gym, so it's been about 5 months since I left the gym so I did another T test yesterday and have just got the results

I think its normal, doesn't it ? maybe the gym stress was the cause on the first results ... I dont know , Can I workout again , i'm confuse

**Mr.BB** · 01-27-2015, 07:50 AM

Yeah, this results look normal.

I dont believe training could have anything to do with it, maybe Kelkel or other vet could have better opinion on this.

You sure you didnt have any trauma on your testis?

**Hayder H** · 01-27-2015, 02:22 PM

Originally Posted by Mr.BB

Yeah, this results look normal.

I dont believe training could have anything to do with it, maybe Kelkel or other vet could have better opinion on this.

You sure you didnt have any trauma on your testis?

I dont think I had any trauma on my testis , yea I need more opinion plz

**kelkel** · 01-30-2015, 09:11 AM

Current results are normal like BB said.
You'd know if you had testicular trauma!
I'm curious as to why your LH/FSH were so ramped up before and normal now? Had you taken any serms?

**Hayder H** · 01-30-2015, 09:55 AM

Originally Posted by kelkel

Current results are normal like BB said.
You'd know if you had testicular trauma!
I'm curious as to why your LH/FSH were so ramped up before and normal now? Had you taken any serms?

If I had testicular trauma wouldnt be appears in the Doppler, I havent had any serms , anyway I still can see veins on my left testis i'm thinking of getting back to gym and see what will happen