I've been diagnosed with bilateral varicocele grade 1 on the right side and grade 2 on the left. Lately, I've noticed my testicles shrinking, along with weaker erections and lower sex drive. I've tried ayurvedic and homeopathic treatments, but I'm not sure if they're helping. What's the best way to treat this? Also, could surgery lead to fertility problems down the line?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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For a bilateral varicocele with associated testicular shrinkage, weaker erections, and lower sex drive, the best course of action is to consult a urologist or reproductive endocrinologist for a proper evaluation and treatment plan. While surgery is the most common and effective treatment, other options like embolization or lifestyle changes might be considered. Surgery, while generally safe, may have a small risk of impacting fertility, but this is often manageable

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Answered 14/08/2025

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