High DFI + Grade 3/4 varicocele but semen analysis improved. Confused about next step.
Male, 31. I have Grade 3 (right) and Grade 4 (left) varicocele with a DFI of 46%. My first semen analysis showed 1% morphology, but a repeat test at my new IVF center showed 25% morphology, with good count and motility.
My IVF doctor recommends ICSI + PGT-A and wants to skip varicocele surgery to avoid delaying treatment.
Has anyone had a similar situation where the semen analysis improved but DFI remained high? Did you proceed with surgery or IVF/ICSI + PGT-A? I'd appreciate hearing your experiences.