It is understandable that you are worried, but your current findings do not suggest that you should directly proceed to surgery or embolisation. You previously had a grade 1 varicocele, while your recent urologist examination did not detect a varicocele and found both testes symmetrical with no obvious shape change. Varicocele treatment is generally considered when there is a clinically significant/palpable varicocele together with problems such as infertility and abnormal semen parameters, persistent pain, or testicular size/functional changesânot simply because of reduced erection firmness.
Your reduced morning erections, erection firmness, perceived change in penile size/girth and semen appearance cannot be assumed to be caused by the old grade 1 varicocele. Erectile function is influenced by several factors, and the
testosterone assessment advised by your urologist is a reasonable part of evaluating the current symptoms.
Next Steps
Since your examination was reassuring, first clarify the cause of your present sexual symptoms. If there is subsequently evidence of a clinically significant varicocele with fertility-related or testicular problems, the urologist can discuss whether microsurgical repair or embolisation is appropriate. Current guidelines specifically support varicocele repair mainly in men attempting conception who have a palpable varicocele, infertility and abnormal semen parameters. You can certainly seek a second opinion from us. For better treatment and personalised guidance, you may connect with us at 9 3 1 5 6 6 1 5 6 5.
Health Tips
Try not to repeatedly compare your penile size, semen colour/volume or morning erections from day to day. These can naturally fluctuate and repeated checking can increase sexual anxiety, which itself can negatively affect erection quality. Maintain regular physical activity, adequate sleep, a healthy weight and good stress management, and avoid smoking and excessive alcohol. A previous grade 1 varicocele does not mean that your sexual function or fertility will progressively deteriorate, particularly when your current examination shows symmetrical testes and no clinically detectable varicocele. Thank you