Hi there ~
I understand your concerns. I believe that the varicocele
in itself may cause you to have a poor sperm count
and semen analysis
. I also believe that you would need to stop using the marijuana as it may have a lot of effects on your system including the issues that you seem to mention. Consulting an endocrinologist
regarding your hormone levels and also a surgeon or a local doctor to diagnose and treat the varicocele may be good ideas. I also believe that you will heal very well if you take the suggestion from a psychiatrist
who will take a good history and recommend the right specialists for consultation.
I hope this helps. Take care and have a lovely day!