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Talk to Endocrinologist on Dilated Vessels / Varicocele On Left Side Of Scrotum

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Asking for Self, Male, 29 years old, Hyderabad

Attached is my ultrasound report , I went for this ultra sound because I was having an ED Issue and was also having some pain at the left side of scrotum. Now can someone (Urologist) please help me answering following questions / confusions which I have in my mind. Grade of varicocele (or Dilated Vessels) are these ? and What should be the treatment (in this case)? these Dilated Vessels also cause ED ? 3. I have some pimples type (Light brown colour pimple type) on my scrotum ? Are these also because of these Dilated Vessels and are they normal or abnormal in nature ?

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