Male sexual health is integrated, and any structural testicular issue can raise concerns. In this article, I discuss whether varicocele causes erectile dysfunction.
The Hormonal Link: Testosterone and Leydig Cells
Testes produce both sperm and testosterone. In advanced, bilateral varicoceles, toxic blood stasis can damage Leydig cells, leading to lower testosterone levels, reduced libido, and subsequent erection issues.
Microsurgical treatment often improves testosterone levels and erectile function in patients with baseline hypogonadism.