It is appropriate that your urologist has advised a testosterone evaluation. If testosterone is found to be low, it should generally be confirmed with an early-morning measurement before concluding that you have testosterone deficiency. Since your urologist currently found no clinically evident varicocele, there is no reason from the information provided to assume that you need varicocele surgery or embolisation. Your weight should be addressed seriously; evidence-based guidelines indicate that weight reduction and regular physical activity can improve erectile function, and losing weight may also improve testosterone in men with obesity. Continue the treatment prescribed by your urologist and discuss the response at your follow-up rather than adding multiple products yourself. For better treatment and personalised guidance, you may connect with us at 9 3 1 5 6 6 1 5 6 5 for proper treatment and guidance.

Make weight reduction one of your primary treatment goals. Continue gym activity, but combine resistance training with regular aerobic activity such as brisk walking, and focus on sustainable calorie control rather than crash dieting. Reduce highly processed foods, sugary drinks and frequent overeating, and prioritise adequate protein, vegetables, whole grains and good-quality sleep. Regarding erections, gradually reduce dependence on pornography and avoid repeatedly testing your erection. During sexual activity, concentrate on arousal and sensation rather than checking whether you are sufficiently hard. With consistent weight management and correction of any underlying hormonal/metabolic factors, significant improvement in erection quality is quite possible. Thank you

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