Hi. Thanks for your query. Noted your history of being diagnosed with a grade one varicocele left testicle with a minor pain. You haven t done semen analysis yet but you know that you are suffering from ED as well. You are married but your wife is away and you are not sexually active. Your age is almost 27 now. Wants recommendation. Recommendations as asked by you: Let me clear you some most important points related to your problems: - Grade I varicocele needs no surgical treatment unless symptomatic and medicines can be tried in consultation with your Urologist. - Review the color doppler study. - Semen analysis is a must as if the counts are less surgery needs to be done ASAP. - You need proper consultation, counselling and treatment for ED problem and should be done when you are staying with your wife. -