 [ Symptoms ] i am thinking to have varicocele surgery would it help [ Disease ] in my opinion sperm count of less than about 5 million per cc or the motility below about 30 will most likely need ivf with icsi in order to conceive varicocele surgery is probably not a viable option for you with such low numbers an infertility doctor should be consulted for improving the quality of sperm when they are 15millions or more a varicocelectomy can be good option for you thanks