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Henry - I've had varicocele since 14, I'm now 44. Urologist said it's minor and although I clearly have the 'bundle of worms' and have had a lump on the left testicle for 30 years, I have no pain and doc said the best he could hope for with surgery would be an increase of only 75 on my total test. I don't have pain so I left it alone. Your case sounds worse than mine plus you have pain. I'd consult another doc and get his opinion. Not sure the increase in test will make enough of a difference for you. Your motivation would probably be to reduce the pain.
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