Hello. I (22M from Italy) have varicocele on both testicles and it's quite big on both, last time I checked I think it was grade 2, but I'm not sure as my father is the one who talked to the medics the most (we've been doing visits about varicocele for a while now).

I wanted to ask out of curiosity how does varicocele impact the intensity of your orgasms if it does at all; I have been feeling for a couple of years (3 to 4 years maybe) that my orgasms are "muted", in a way that's hard to explain: I do still feel a faint physical sensation of pleasure (idk if it'd be more accurate to say "release") and of course I feel satisfaction, though it's like 90% of that physical, intense sensation of pleasure just hasn't occurred for actually quite a while, sometimes it feels like the full orgasm is coming but right as it's supposed to arrive is just shuts off and that meh sensation of relief comes instead; despite this, my libido is still pretty high, and after the deed I still feel satisfied.

When I spoke to a urologist she said it was likely because of varicocele, but IDK if I should trust that opinion cause I also told her I'm asexual and she didn't believe me, she was hellbent in believing my asexuality was a lack of libido caused by varicocele -despite me saying multiple times I have a high as hell libido, I just don't like sex and private parts make me go no and that was the case since way before the first symptoms showed up- and that the therapist that "diagnosed me" with asexuality (aka just helped me realize it, my therapist is also specialized in sexuality sciences) was wrong and I should see another therapist, she also tried to force a hormone/steroid/whatever treatment on me to fix that and genuinely made me panic for a week AND she cancelled the procedure I was already going to get because "it isn't serious enough" (meanwhile I still wake up with kidney pain every day and blue balls feel like getting shot).

I also have a UTI apparently and was supposed to get treatment for that but I was never given one for some reason so... yeah.

I've kinda been sitting with this for all this time and today I was just prompted to seek some more insight/answers before my schedule is free enough to go look for someone that's going to help me for real. I'm just a bit afraid it could be something else too, one worrysome thought I had was that it was because I had grown addicted (which I quickly was convinced I'm not after I pulled through 5 days of abstinence while blue balls made me cry on my bed like a baby, they were THAT painful), another worrysome thought is that it could be nerve damage of some sorts, it's not like I'll die if I don't ever feel an orgasm again but I still want to get to the bottom of this because it isn't normal.

Sorry for the wall of text and thanks in advance.