eh, my left varicocele showed up when i was 13 or so. it wasn't that bad at first, but got pretty big by the time i was 17 or 18. my left testicle was always smaller, but it didn't bother me, because everything worked fine. more than fine actually. masturbating was awesome.
i had been having sex with girlfriends for years with no problems. it wasn't until i was 26 that i really started to want to get rid of it because it was so warm and heavy and annoying. then when i was 28, things started to go downhill. my left testicle began to ache, and i started to slowly and steadily ejaculate less. the power and pleasure of my maximum ejaculations began to decrease. and my left testicle started to shrink. my right testicles started to having intermittent aches and pangs of pain. i would say they were about a 2 or 3 on a 10 scale of pain, not terrible, but enough to motivate me to get checked out for testicle cancer, which i did not have. those pangs of pain continued for 3 years, enough pain to wake me up at night once a week.
eventually after 3 years of that, a slow and steady decline that wasn't fast or painful enough to really motivate me, my left testicle was REALLY small, and i took action. got scheduled for microsurgery as fast as i could. can't afford goldstein or schlegel, but the guy i got is pretty good i think. he said varicocelectomy is the second most common surgery he does after vasectomy reversal, and he did 44 of those just in 2009 alone. i'm also going to a surgery center specialized for infertility, so the hospital should be decent. believe me, i didn't just get any random surgeon or urologist, though i can never really know which guys are the best. of course i'd rather go to presbyterian hospital in NYC and have goldstein do it, but i just can't afford $20,000 or whatever.
you should DEFINITELY GET MICROSURGERY AS SOON AS POSSIBLE, from a decent surgeon. DO NOT WAIT. go into debt if you have to. it's just money. you can pay the bills later, over time. don't be like me. don't put it off. you can't get your testicle size back. some function back? yes. some peace of mind that the damage has been halted? yes. but never your size. they might grow a little bit, but nothing more than a little bit if that.
general practicioners, and even most urologists, are not good about varicoceles and do not strongly urge you to have big ones fixed in a timely manner. i have been examined by many doctors in my life, and while most noticed my varicocele, only 1 person, a nurse at my college, even told me i should have it fixed. even dr thompson said he would fix it if i wanted - but didn't urge me to do it soon. he even stood to make the money on the surgery and he didn't urge me to do it when i first saw him in july 2009. he was actually surprised when i showed up again in his office in october 2010, pleading for him to check me out, and operate as soon as possible. dude was like "Man, you are motivated!" well of course doctor, i'm about to lose my left testicle! he asked me "What changed in your head, what switch was flipped in your mind?"
i mean seriously. you tell even a good surgeon about your problems, the aches and decrease in ejaculation and the terrifying atrophy, and the guy shrugs. "Eh, I can fix that if you want." WTF man?!
fortunately i don't have any other problems. testosterone normal, all other hormones normal. i'm still well within the fertile range as far as semen analysis goes. i can still easily get big hard erections. i'm still very interested in women and in masturbating. well, not so much anymore now that i realize how badly i'm damaged, that kind of psychologically changed me and wiped out my confidence and sex drive. as far as the experts are concerned i am still OK for clinical purposes. but for my purposes, i'm ruined.