Your current symptoms are unlikely to be explained by a past grade-1 varicocele alone. Get the testosterone test as advised and review with your urologist; stress and excess weight can also affect erections.

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It is understandable that you are stressed, but your current information is more reassuring than alarming. You had a grade 1 varicocele in 2021, but your recent urologist examination found no palpable varicocele and symmetrical testes without obvious structural changes. Therefore, it would not be appropriate to assume that the old varicocele is responsible for your current erection or semen concerns. Varicocele is generally considered for treatment when there is a clinically palpable varicocele along with infertility and abnormal semen parameters, rather than for erection changes alone. The reduced morning erections, weaker spontaneous erections and perceived changes in penile size/girth can have multiple contributing factors. Your weight of 100 kg at 160 cm is also clinically relevant, because excess body weight can adversely influence sexual and hormonal health. Semen quantity and colour can naturally vary between ejaculations and, by themselves, do not establish poor fertility.

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Your previous varicocele does not necessarily explain the current erection problem, especially since the urologist found no current varicocele or testicular abnormality. At 25 years, reduced morning erections and weaker erections can have several causes, including low testosterone, obesity/metabolic factors, stress or performance anxiety, poor sleep, and other hormonal issues. At 100 kg and 160 cm, BMI is around 39, which itself can adversely affect testosterone and erectile function. Since your urologist has already advised a testosterone test, get a morning (around 7–10 AM) total testosterone level and review it. If it is low, it is usually repeated and may be supplemented with LH, FSH and prolactin; metabolic screening such as HbA1c and lipid profile may also be useful. The Mucuna pruriens capsule is not a proven treatment for erectile dysfunction or low testosterone, so don't rely on it as the main treatment. For personalized guidance and treatment, you can directly consult me through WhatsApp: nine nine three one zero four five zero zero eight.

You may have erectile dysfunction (ED). The old grade-1 varicocele may not be the cause. Check morning testosterone (7–11 AM). If testosterone is low, repeat the test. If it remains low, check LH, FSH and prolactin. Also check blood sugar, cholesterol and TSH. If you are concerned about fertility, do a semen analysis. Do not start testosterone treatment without confirming low testosterone.