Fear of infertility, what tests should be done

Patient's question:

Condition (onset time, main symptoms, hospital visited, etc.):

Male, 27 years old, with left varicocele, which is considered mild to moderate. Married and planning to have children. Recently had a semen analysis:
Number of tested sperm: 44
A: 11
B: 4
C: 3
D: 26
What kind of help is desired:
The doctor said my sperm motility is still relatively normal (A is 25%), but the D is relatively high. I wonder if this will affect fertility? I hope to have children first and then consider treating the varicocele, after all, surgery is not guaranteed to be effective, and I rarely experience discomfort. Please advise me on this. Thank you.
History of previous treatment and effectiveness:
What kind of help is desired:


Doctor's answer:

In congenital testicular dysgenesis, there is a type known as pituitary testicular dysgenesis, where the testicles are small and have a relatively soft texture. Treatment: Lifetime administration of androgens.
Testicular hypoplasia caused by congenital factors can be treated with some androgens to promote the development of male secondary sexual characteristics, normalize genital development, make pubic hair growth prominent, exhibit prominent male characteristics, enhance libido, and maintain normal sexual function.

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