Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
VAricocele with
Testicular atrophy.
The cause of the
Erectile dysfunction in your case, is from low
testosterone production.,due to the long standing untreated Varicocele since you were 26.
Treatment-Suggested-
Urgent Consults with Urologists after USG and Color doppler of the left testes and
scrotum.
Plan for the VAricocelectomy urgently to reduce the testes pain and this would also recoup the testosterone with regain of normal testicular size and testosterone levels.
Also your erectile dysfunction would vanish and with more pleasures added to your life.
Hope this would help you to solve your health issues in the best way possible.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS