I have grade 4 varicocele and azoospermia with zero sperm count could the varicocele be causing this? IVF clinics are recommending TESA since I'm trying for a child, but I'm unsure whether to go for varicocele surgery first or proceed directly with TESA to improve my chances of having sperm

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Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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Answered 14/08/2025

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