<s>[INST] hi doctor,i done a sperm analysis test and found that my sperm count is 20million and the sperm motality is 15%.and the doctor told me that a varicosele is found in my testis...is the varicosele  the factor for my sperm motality and sperm count?if i have do a surgery for removing varicosele,then there is any chance to improve my fertility? [/INST] Hi, The varicocele can affect sperm count and motility. So it's better to get operated for varicocele. It will help in regaining fertility. Meanwhile Hormonal profile can be checked and Hey Forte like tablet can be prescribed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician </s>