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From the letter it is not clear that whether you had sperms in your semen earlier and reduced due to varicocele. If there were no sperms it could be due to various reasons. Fist of all we have to find out whether spermatogenesis is taking place in your testis. If not why? You may need to undergo a testicular biopsy to find out this. If spermatogenesis is there and the sperms not coming out with the ejaculate it may be an obstructive azoospermia.

Another important question is about the varicocele operation. Which method was used for the surgery? In most of the places they do laparoscopic varicocelectomy. There is 40 to 45% chances for recurrence. This is because they ligate only vien on each side. There are other veins which get enlarges soon. If you do the conventional TV ligation also there is high chance of recurrence. The best and ideal method is microscopic microsurgical varicocelectomy. If the man is unmarried or married without children the choice of surgery is microscopic varicocelctomy. Here you ligate all the veins including those not visible with the naked eye. Hence the chances of recurrence is only 0.6% that is less than 1%. So if your problem was caused by varicocele you may need to undergo another surgery.

Only after full evaluation and identifying the cause we can give an accurate opinion and treatment if indicated.

To find out the cause of your problems both of you needs to undergo full clinical evaluation. Hormonal imbalances can leads to lack of interest in sex. Any interpersonal conflict, extramarital affairs, work related stress, other mental traumas, stress or tension due to any other reasons, depressed mood state etc. may leed to such problems. So it is better to undergo full physical and psychological evaluation for both of you. First we have to identify the cause and treat the same to save the marriage.

You may be anxious about the sexual conact. Severe anxiety can lead to such problems. Any how it is better to consult a doctor and get examined.

Different factors can cause pain inside the scrotum. This may be due to varicocele, epididymitis, prostatitis, any trauma to the testis etc. It can be find out with the help of a physical examination, Ultra sound scanning and laboratory tests. It is better to consult an Andrologist.

Masturbation is a normal natural activity. But watching too many videos can create problems for you. Good pornograhy is rare. What you get usually contain a lot of undesirable matters and perversions. It can lead you to problems. It is better to stop watching such movies. Now concentrate on your studies.

When you don t get full erection your penis may appear short. It seems that you may have an erectile dysfunction which needs treatment. Treatment can be done only after investigations and identifying the cause. Taking medicines with out appropriate evaluation and prescription of doctors can be harmful.

If you have a premature ejaculation it has to be treated. Similarly if your partner got a delay in achieving that is orgasmic dysfunction (delayed orgasm, anorgasmia etc), causes should be identified and treated. So don t worry this problem can be solved.

The prcedure for measurement is important. If the procedure is wrong it can affect the accuracy of measurement. Eight cetimetre length it is normal and it is not a micropenis. If you need further clarifications it is better to consult a doctor and get an opinion after physical examination.

I understand your difficulties. It could be due to various reasons such as a tight hymen, your pain and fear of penetration, spasm of vagina, husband may be losing his erection etc. If you cannot perform the intercourse, please consult a doctor who can help you. You need a gynecological evaluation and your husband need an andrological evaluation. With the examination and necessary investigations cause of your problem can be identified. What ever may be the cause it can be treated successfully. Don t worry. Consult a doctor.