How to treat asthenozoospermia more effectively?

Patient's question:

I am 28 years old and was diagnosed with asthenozoospermia in April-June 2017. I had a prostatic fluid routine test, and the report showed 1+ white blood cells and 1 lipid body. The semen analysis report indicated 0-3 hp after semen liquefaction, occasional motile sperm with acceptable motility, a significant number of cell fragments, reduced semen volume, and weakened sperm motility. The blood test results showed estrogen levels of 5 and follicle-stimulating hormone levels of 7.13. During the std examination, ureaplasma urealyticum was positive, but chromosomes were normal. An ultrasound revealed left testis size of 34mm17mm21mm, left epididymal head size of 6mm5mm, right testis size of 36mm17mm22mm, and right epididymal head size of 6mm7mm, with two anechoic areas inside, the larger measuring 3mm2mm. The right epididymal head also showed a cyst.

Doctor's answer:

It appears that the varicocele on the left side is still quite severe, and the diagnosis should be based on ultrasound. In this case, treatment is still necessary because varicocele can lead to a decrease in testicular temperature. This may result in poor sperm quality, and surgical treatment may be helpful. In other aspects, there are no significant impacts.
In addition to treating urological conditions, it is recommended that patients pay attention to their diet in daily life and maintain a positive mood at all times to enhance their physical condition and slow down the recovery process.

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