u/SuccessfulHabit6146

Hi all,

I had microsurgical varicocelectomy with testicle delivery about 6 months ago. I recently repeated my SA, but unfortunately my sperm parameters have not improved at all.

For those who have been through this: is there still a realistic chance of improvement at the 9-month or 12-month mark, or does no improvement at 6 months usually suggest the surgery may not have worked?

Some extra context:

• I tried several fertility supplements over the last year.
• I also did FSH injections for 3 months before surgery and continued for another 3 months after surgery.
• I had a follow-up ultrasound yesterday. Everything was clear, with no signs of recurrence.
• The only finding was a small hydrocele on the left testicle.
• Testicle size was normal before surgery and remains normal now.

Recent hormone labs:

PRL: 11.23 ng/mL
LH: 3.02 mIU/mL
FSH: 4.22 mIU/mL
E2: 37.42 pg/mL
DHEA-S: 311.8 µg/dL
LH/FSH ratio: 0.87

Has anyone seen improvement only after 9 or 12 months, even with no change at 6 months?

Hi all

I did an SA six months after my surgery (microsurgery with testicle delivery ) and my sperm parameters have not improve at all.

For those who have been through this: is there still a realistic chance of improvement at the 9-month or 12-month mark, or does no improvement at 6 months usually mean the surgery failed?

I have a small left hydrocele. When I have a strong urge to pee or poop, my left scrotum/testicle becomes noticeably swollen and feels heavier/larger than the right side. After I urinate, it mostly returns to normal.

I also feel like the left side has more mass/fullness than the right.

No significant pain, just occasional discomfort.

Has anyone experienced this? Does it sound more like a hydrocele or a recurrent varicocele?