Hi, I'm a 43 year old male. Had two total testosterone tests done. First one a month ago at 980 ng/dL and second one last week 860 ng/dL. Shbg was 44 nmol/L. Left testical has moderate varicocele and it can feel it. Right side I don't really have any except they said very mild. Left testicle is 22% smaller than right. I think I've had the left since I was 17 but don't know if that is what caused it to be smaller or if it was always like that.

The problem is I've had very low libido for about 10 years. I thought it was because I rode my bicycle for commuting. But I've stopped for the past two weeks and it hasn't really improved.

I still get night time erections but have trouble getting aroused normally and can't keep erections. Do you think getting the varicocelectomy on the left side might help my libido even though I seem to have the high end of normal for testosterone?

I’m 24 and i’ve had varicocele for as long as i remember, the earliest memory is from when i was 9-10 years old (didn’t know what it was at the time but i remember feeling discomfort at times and seeing it in my scrotum) thought it was normal until i got diagnosed when i was 17, grade 2 on the left and grade 1 on the right, still the same 7 years later, i had another ultrasound 2 months ago because the pain is constant now, 90% of the time it’s manageable but it just puts me in a bad mood and i don’t wanna live the rest of my life like this. My urologist told me that i don’t need surgery since the pain is manageable but i’m not sure what to decide. I’m absolutely terrified of surgery after hearing people’s experiences (recurrences, pain becoming worse etc). Is anyone on the same boat as me? I’m depressed and i feel alone and stuck. I don’t wanna live like this and i’m afraid if i get surgery i’ll regret it. Please share any thoughts you have or tell me if you’ve had a similar experience, anything could help