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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Have you told your RE about the surgery?  My RE said that surgery went the way of the dinosaurs.  I would discuss it with your RE first.[/quote]

OP here. We're going to discuss it with the RE this week.

My understanding is that studies on varicocele surgery show improvement in around 2/3 of men and that those men showed a significant improvement in semen parameters. I will say that the RE of course has an interest in moving couples toward IVF, and the fact that ICSI is available makes varicocele surgery unnecessary if you're willing to do IVF/ICSI (hence my question). But all that said, we'll discuss with the RE soon. Thanks for your response. [/quote]

It's a tough call, but at age 36, I would proceed directly to IVF with ICSI, particularly if I wanted more than 1 child.  I would ask the RE if your husband has the surgery and you don't get pregnant, how quickly can you do IVF?  For example, have surgery in 1 month, then 3 months to generate new sperm, then 6 months TTC, then repeat some of the infertility workup (I know some tests are only good for a year), then get on birth control before the cycle if the RE requires it, etc.  Maybe there's a way to shorten the timeline, but it looks to me that doing the surgery sets you back almost a year if you don't conceive naturally.  [/quote]

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