<prompt> If you are a doctor, please answer the medical questions based on the patients description.i am asking this for my husband.Last month he has diagnosed as BL varicocoele RL. would you plz give me the relevant advice . we are trying for the pregnancy for 6 months. semen analysis report on 190311 is ; liquifaction time -10 mt reaction - alkaline volume - 1 ml microscopy pus cells -8-10hpf 1-3active spermatozoa seen in whole field now he is taking T. HI Q T.CARNISURE 500 by aneeshya  <response>: Hereafter semen analysis, there is 1-3 motile sperms only, while normally for a fertility require 48 million ml sperm counts . In your husband NEARLY it is azoospermia. While motility require is. 63 and 13 exhibiting normal morphology. Now your husband is taking tablet HIS and Carlisle 500, but I doubt these tablets improve SPERM counts. In my opinion note down this thing:Operation for varicocele is not indicated unless there is :1 Pain2 Serious depression of SPERMATOGENESIS OLIGOSPERMIA OR AZOOSPERMIA. So your husband require SURGERY for varicocele, thereafter get in semen analysis for further evaluation of case. Good luck. 