<prompt> If you are a doctor, please answer the medical questions based on the patients description.Am Jayan from kerala 41 aged married man, 7 years completed I have low sperm count and quality. now am consult a doctor after scanning varicocele confirmed . Kindly give me an advice to recover my problem Test Result on 17012017 Total Sperm Count 7.0 Total Sperm Number 11  <response>: Hi Japan, Male factor is the commonest cause for infertility. Varicocele alone is not a cause for infertility. Only when all other possible causes have been ruled out, varicocele should be blamed. I assume that repeated semen analysis showed a poor count quality. Before going for higher management try to remove the cause for the poor sperm quality. Only healthy sperm can give a healthy baby. Kindly confirm if1.your blood sugars Serum Thyroid Prolactin are normal 2. Reduce body weight, if youre on to overweight 3. Avoid smokingeven passive smoking alcohol any other substance abuse4. Have cold water bath 2-3 time day if possible5. Try methods to reduce mental stressI know its easy to say, but tough to practice- by meditation, Yoga6. Kindly repeat semen analysis from an infertility center- with abstinence not less than 3 days not more than 6 days. If they report any infection WBC Pus cells above normal, you will need a course of antibiotics for 2 weeks. Expecting your wives tubal factor ovulation factors have been ruled out. Since you are married for 7 yrs, after this basic evaluation treatment you can try GUI with good hormonal induction support. In GUI they wash the semen separate the healthy sperms keep it close to the waiting egg. Pregnancy chances are 4 times. Even after 3 GUI if you dont get a positive result you can go for IVF, where only the healthy sperm is selected.Dont worry, The lowest count for which I could get a pregnancy was 5 million. All the best Chat Doctor. 