Varicocele: Impact on Testosterone and Sexual Function

Varicocele

Doctor, I have had a varicocele since middle school and have never sought treatment.
Recently, over the past month, my libido has rapidly decreased, affecting my sex life.
When I am intimate with my girlfriend, I often feel weak and have difficulty maintaining an erection, especially when using a condom.
Previously, I would easily react to seeing attractive women on the street, but now I feel no sensation at all! I read online that varicoceles might affect testosterone secretion, which could in turn impact sexual function.
Additionally, I have hair growth only on one side of my armpit, with very little on the other side.
Could this be related to decreased testosterone secretion? Is this statement correct, doctor?

Niming, 20~29 year old female. Ask Date: 2013/06/16

Dr. Li Xinyi reply Urology

Varicocele is actually quite common, but the severity can vary.
Generally speaking, it does not significantly affect testosterone secretion.
The issue with axillary hair may be related to sexual development, and coupled with decreased libido, it would be advisable to check hormone levels.
It is recommended to consult a urologist or an endocrinologist for a thorough examination.

Reply Date: 2013/06/16

More Info

Varicocele, a condition characterized by enlarged veins within the scrotum, is often compared to varicose veins in the legs. It is a common condition that can affect male fertility and sexual function. Your concerns about the impact of varicocele on testosterone levels and sexual function are valid and warrant a thorough discussion.

Firstly, varicocele can indeed affect testosterone production. The testicles are responsible for producing testosterone, and the presence of a varicocele can lead to increased temperature in the scrotum, which may impair the function of the Leydig cells that produce testosterone. Studies have shown that men with varicocele often have lower testosterone levels compared to those without the condition. This reduction in testosterone can lead to various symptoms, including decreased libido (sexual desire), erectile dysfunction, and other sexual performance issues.

Regarding your specific symptoms, such as a sudden decrease in sexual desire and difficulty maintaining an erection, these can be linked to low testosterone levels. The fact that you previously had a strong sexual response but have recently noticed a significant decline could suggest that the varicocele is affecting your hormonal balance. Additionally, the asymmetrical growth of body hair, such as having more hair on one side than the other, can also be indicative of hormonal imbalances, including testosterone deficiency.

It is important to note that while varicocele can contribute to low testosterone levels and sexual dysfunction, other factors may also play a role. Psychological factors, stress, anxiety, and overall health can significantly impact sexual function. If you are experiencing these symptoms, it is advisable to consult a healthcare professional, preferably a urologist or an endocrinologist, who can evaluate your condition comprehensively.

Diagnosis typically involves a physical examination and may include a scrotal ultrasound to assess the varicocele and blood tests to measure testosterone levels. If low testosterone is confirmed, treatment options may include lifestyle changes, hormone replacement therapy, or surgical intervention to correct the varicocele, which has been shown to improve testosterone levels and potentially restore sexual function.

In summary, your understanding that varicocele can impact testosterone levels and sexual function is correct. It is crucial to seek medical advice to explore your symptoms further and determine the best course of action. Addressing the underlying condition may not only improve your testosterone levels but also enhance your overall sexual health and quality of life.

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