question: i am male 28,on my infertility work up diagnosed with bilateral grade 2 vericocele, i had semen analysis 4 to 5 times. at first 40 million motility normal after sperm count deceasing to 25, 15, 20, 05 in further tests with all normal motility. i have no stress and psychological problems, all my harmonal reports lh,fsh,TT,TF, prolactin are normal but having elevated E2 is 92.29 pg/ml, having good erections but suffering low libido and no that much plesure in intercouse and while ejaculating. what to i do now doctor suggested surgery for vericocele is it required for bi lateral grade 2?