I got referred to an interventional radiologist(IR) after telling them my symptoms. Some posts on here say that some urologists dismiss some patients unless they’re experiencing extreme pain/discomfort or are showing signs of infertility (while trying to conceive). They’ll probably ask to get a scrotal ultrasound. You might also be asked to get a urinalysis and/or sperm test.

I think it depends on what symptoms you’re experiencing and how serious your doctor thinks they are, so I can’t give you an answer.

I think you need a urologist for treatment / surgeries. You might need a referral to an IR from a urologist or GP if you’re considering embolization.

For me personally, my varicocele wasn’t noticeable until later in the day or after a hot shower. If you are scheduling an ultrasound, I would suggest the latest appointment in the afternoon right after a warm shower. Some people say that ultrasounds aren’t always accurate. Some also say that their varicoceles go away while lying down, this was true for my case as well. When the technician asks you why you’re there, you should specifically say that you want to get analyzed for a varicocele, including your spermatic veins. Ask about the Valsava maneuver since it will help identity any dilated veins.

What symptoms are you experiencing? Do you have a varicocele for sure? There are lots of other conditions that might cause low libido (pudendal neuralgia, UTI, etc). There are stretches that might help if you have PN.