<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hello doctor, I am suffering from bilateral vericocele. I got married 2.5 years back and still dont have children. My last report says 18 Millon sperm count, far less then the range specified in the report. I consulted a urologist and he advised me a 3 months course 1 year back. I believe there is no difference. Do you advice me surgery for the same or there is any other cure for this problem.  <response>: HelloThanks for query. You are facing problem of infertility due to Oligospermia. You have been detected to have Bilateral Varicocele . Varicocele is one of the factors that causes Oligospermia Low Sperm Count do to temperature imbalance that affects spermatogenesis production of sperms by testis . Operating Varicocele improves sperm production in 30 to 40 of cases to have pregnancy. Please go ahead and get operated. Chat Doctor. . 