<s>[INST] treatment of delayed ejaculation +tretment of low hormone+treatment of increase prolactine 30 yr-married from7 m-have rt&left varcocell i don or since 1 month -fsh1.4-lh 1.3-prolactine 14.1 test 2.60total -free 3.4-seperm no 6 million motility 13% -i done mri sella free wt 100kg help me [/INST] Hi Nashwa Ahmed. ASW. Thanks for your query and for using Health Care Magic. Based on the given details, you have following issues 1. Bilateral Varicocele 2. Low FSH and LH 3. Normal Sperm Count but very Low Motility 4. Normal Prolactin should be 5. Delayed Ejaculation Since you have done MRI sell and its normal, we can safely say there is no obvious pituitary abnormality. You will need a detailed evaluation to find out what is the cause of your hormonal abnormality. This will include repeat testing for hormones at a different time and correlating. You should also repeat semen analysis as the motility is low and it needs to to be reconfirmed. Bilateral Varicocele can be corrected only by surgery. If not even varicocele interferes with fertility. You should meet an Endocrinologist and an Andrologist for a detailed evaluation and follow up Thanks </s>