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Can This Problem Be Resolved In This Time Mild Varicocele In My Left Testicles?
Question: Hi, I am 31 Years Male. I was diagnosed with mild varicocele in my left testicles. But then I didn't had any pain so didn't got operated. But now from last few months I have noticed I am not getting proper penis erections. Even I don't have enough morning erections. During sex I am not getting enough erections for penetrations. Kindly please let me know what can I do to resolve my problem. In 2 months I am getting married so I under huge stress now.
Please let me know can this problem be resolved in this time even if I get varicocele surgery done?
Please let me know can this problem be resolved in this time even if I get varicocele surgery done?
Brief Answer:
Please give additional information and post all reports, prescriptions.
Detailed Answer:
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Please give additional information for me to assist you better:
Is there any pain in left scrotum or in lower abdomen?
Please post old and recent ultrasound with color Doppler reports.
Please get blood testosterone test.
Why is there so much stress/tension/anxiety. Please give details.
Any other problems related to urinary/ GI (Gastrointestinal) system, back ache or so.
Please give all details so that the discussion will be fruitful for you.
Awaiting.
Dr T Chandrakant.
Please give additional information and post all reports, prescriptions.
Detailed Answer:
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Please give additional information for me to assist you better:
Is there any pain in left scrotum or in lower abdomen?
Please post old and recent ultrasound with color Doppler reports.
Please get blood testosterone test.
Why is there so much stress/tension/anxiety. Please give details.
Any other problems related to urinary/ GI (Gastrointestinal) system, back ache or so.
Please give all details so that the discussion will be fruitful for you.
Awaiting.
Dr T Chandrakant.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hi sir,
Presently I haven't got the tests done and I couldn't find my earlier Doppler reports which was done few years back but I found the below:-
Normal appearing bilateral tests.
Right testis measures 3.5*2.0*2.3cms, vol-8.6ml
Left testis measures 3.4*1.8*2.6cms, vol-8.6ml
Average size of left spermatic veins is 2.8mm.
- Somedays I feel the testicular and left lower abdomen pain but that is of very less intensity.
- I don't have any other problems of back pain/urinary.
- I am getting stressful by thinking about the future if this problem doesn't gets resolved then it will be very difficult and embarrassing.
So, wanted to know if the penis erections issue can be resolved and how much time does it takes to recover.
Presently I haven't got the tests done and I couldn't find my earlier Doppler reports which was done few years back but I found the below:-
Normal appearing bilateral tests.
Right testis measures 3.5*2.0*2.3cms, vol-8.6ml
Left testis measures 3.4*1.8*2.6cms, vol-8.6ml
Average size of left spermatic veins is 2.8mm.
- Somedays I feel the testicular and left lower abdomen pain but that is of very less intensity.
- I don't have any other problems of back pain/urinary.
- I am getting stressful by thinking about the future if this problem doesn't gets resolved then it will be very difficult and embarrassing.
So, wanted to know if the penis erections issue can be resolved and how much time does it takes to recover.
Brief Answer:
Stop worrying helps the best if the tests are normal.
Detailed Answer:
Thanks for your feedback.
The report looks okay as there is no mention of varicosity. Please post the report attached to this query in JEPG format.
The most important point is the size of testicle is normal and actually not related to issues of erection. So stop worrying about varicosity as a cause of your problems of erection.
The commonest causes of being unable to have full erection at your ages are as follows:
Stress and anxiety.
Low testosterone levels.
Other conditions may be:
Some medications. ( Which I hope you are not taking any at the moment).
Medical conditions related to heart, kidney, liver; diabetes, obesity etc.
Too much alcohol or tobacco in any form or any other addiction.
I would think of stress or anxiety of performance or depression of some sort as the commonest reasons.
Please get the following things done asap:
Blood testosterone levels.
Blood sugar levels in fasting and after foods, HbA1c.
Semen test.
Fresh color doppler studies of scrotum and ultrasound of abdomen particularly for uro-genital systems.
General Check up for blood pressure, pulse and relevant other blood tests like liver, kidney functions.
An actual examination of scrotum and prostate by a General Surgeon/Urologist.
All these things will lead to a proper cause of your problem, also have counselling if all the tests are normal, and any medications as needed.
I hope this answer helps.
Feel free to give feedback, post the reports.
Dr T Chandrakant.
Stop worrying helps the best if the tests are normal.
Detailed Answer:
Thanks for your feedback.
The report looks okay as there is no mention of varicosity. Please post the report attached to this query in JEPG format.
The most important point is the size of testicle is normal and actually not related to issues of erection. So stop worrying about varicosity as a cause of your problems of erection.
The commonest causes of being unable to have full erection at your ages are as follows:
Stress and anxiety.
Low testosterone levels.
Other conditions may be:
Some medications. ( Which I hope you are not taking any at the moment).
Medical conditions related to heart, kidney, liver; diabetes, obesity etc.
Too much alcohol or tobacco in any form or any other addiction.
I would think of stress or anxiety of performance or depression of some sort as the commonest reasons.
Please get the following things done asap:
Blood testosterone levels.
Blood sugar levels in fasting and after foods, HbA1c.
Semen test.
Fresh color doppler studies of scrotum and ultrasound of abdomen particularly for uro-genital systems.
General Check up for blood pressure, pulse and relevant other blood tests like liver, kidney functions.
An actual examination of scrotum and prostate by a General Surgeon/Urologist.
All these things will lead to a proper cause of your problem, also have counselling if all the tests are normal, and any medications as needed.
I hope this answer helps.
Feel free to give feedback, post the reports.
Dr T Chandrakant.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Sir,
I had the ultrasound done. PFA the reports.
I have a doubt that the testis size have reduced as compared to earlier reports
Earlier:-
Right testis measures 3.5*2.0*2.3cms, vol-8.6ml
Left testis measures 3.4*1.8*2.6cms, vol-8.6ml
Now:-
Right testis measures 2.72*2.31*1.73cm
Left testis measures 2.64*2.33*1.55cm
Please let me know what is the solution of ED as it's very frustrating and embarrassing for not able to perform sex. I am not getting proper erections for the penetrations.
I have given the tests for testosterone, and will get the reports after 2 days.
I had the ultrasound done. PFA the reports.
I have a doubt that the testis size have reduced as compared to earlier reports
Earlier:-
Right testis measures 3.5*2.0*2.3cms, vol-8.6ml
Left testis measures 3.4*1.8*2.6cms, vol-8.6ml
Now:-
Right testis measures 2.72*2.31*1.73cm
Left testis measures 2.64*2.33*1.55cm
Please let me know what is the solution of ED as it's very frustrating and embarrassing for not able to perform sex. I am not getting proper erections for the penetrations.
I have given the tests for testosterone, and will get the reports after 2 days.
Brief Answer:
As detailed
Detailed Answer:
Thanks for your feedback.
The recent report mentions size within normal limits and no abnormality - Volume not mentioned to compare although.
Let us wait for the report of testosterone.
As said earlier do not have frustrations or anxiety as these increase the sex related problems unless having final reports, finding the cause and having the proper treatment.
Have you started any sort of treatment as yet?
As detailed
Detailed Answer:
Thanks for your feedback.
The recent report mentions size within normal limits and no abnormality - Volume not mentioned to compare although.
Let us wait for the report of testosterone.
As said earlier do not have frustrations or anxiety as these increase the sex related problems unless having final reports, finding the cause and having the proper treatment.
Have you started any sort of treatment as yet?
Above answer was peer-reviewed by :
Dr. Prasad
Hello Sir,
I have got all the reports and I have attached the same. Please have a look at them. Whatever I understood, I found them normal but still I am having the issue with penis erection. Please suggest if there are any other tests that need to be done?
And what can I do to get the perfect erection for having sex? Please suggest any medications because I am active I do regular exercise, eat an ample amounts of fruits and vegetables. But still struggling with it. It is becoming very embarrassing for me. In 2 months I am going to get married also.
Please help me in this.
I have got all the reports and I have attached the same. Please have a look at them. Whatever I understood, I found them normal but still I am having the issue with penis erection. Please suggest if there are any other tests that need to be done?
And what can I do to get the perfect erection for having sex? Please suggest any medications because I am active I do regular exercise, eat an ample amounts of fruits and vegetables. But still struggling with it. It is becoming very embarrassing for me. In 2 months I am going to get married also.
Please help me in this.
Brief Answer:
Good that the blood reports are normal
Detailed Answer:
Thanks for the report.
All are within normal limits.
Hence the most probable cause can be related to anxiety and/or stress, one of the most common reasons for less erection at your age. No diabetes, all hormones done are normal.
Additional advise is as follows:
Consult an Urologist or Sexologist. Counselling may help and if required related medications as per the clinical evaluation can help you for sure.
What is your experience at masturbation/sex ( if you had)?
How much is erection?
How much hardening is there?
Please give exact details.
Dr T Chandrakant.
Good that the blood reports are normal
Detailed Answer:
Thanks for the report.
All are within normal limits.
Hence the most probable cause can be related to anxiety and/or stress, one of the most common reasons for less erection at your age. No diabetes, all hormones done are normal.
Additional advise is as follows:
Consult an Urologist or Sexologist. Counselling may help and if required related medications as per the clinical evaluation can help you for sure.
What is your experience at masturbation/sex ( if you had)?
How much is erection?
How much hardening is there?
Please give exact details.
Dr T Chandrakant.
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.
Above answer was peer-reviewed by :
Dr. Prasad
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