EFFECT OF MICROSURGICAL VARICOCELECTOMY ON SPERM DNA INTEGRITY AND ASSOCIATION WITH REPRODUCTIVE OUTCOMES AT IVF/ICSI

million, p < 0.05).Of note, when we evaluated TMSC at 6 months for the men with severe oligospermia (7.0 million) and oligospermia (24.0 million), there was no continued improvement from 3 to 6 months.Strengths of the study include consecutive men who underwent varicocele repair by a single surgeon who had semen analysis at both 3 and 6 months.Limitations of the study include small sample size and retrospective study.CONCLUSIONS: Despite a greater degree of testicular failure in men with severe oligospermia, sperm parameters improve by 3 months after varicocele repair and then do not improve further.This finding should allow physicians to counsel couples to plan on the use of assisted reproduction 3 months after varicocele repair.