Is it serious if the testicles become hard after nocturnal emission?

Patient's question:

Last night I had a nocturnal emission. I've been abstaining from masturbation for a month. I have left varicocele with a reflux of 2.4. After the nocturnal emission last night, my left testicle felt hardened. What should I do? It doesn't hurt or itch. Is it serious?

Doctor's answer:

It should be varicocele, caused by damp-heat stagnation in the lower genital area, leading to varicocele and hardened testicles. It is recommended to use heat-clearing, damp-drying, and blood-activating medications such as Longdan Xiegan Wan for treatment, along with antibiotics like Levofloxacin and Metronidazole tablets. Additionally, a low-sodium and low-fat diet should be followed. Emission can be alleviated, but the treatment process is generally slow, and relapse is common after treatment. Therefore, active cooperation with the doctor and proper medication use are essential during treatment. Additionally, patients should maintain a light diet and avoid foods.

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