###Human: What is the management for erectile dysfunction with grade 1 varicocele? ###Assistant: Hi. Your serum testosterone levels are on the lower side. But the semen analysis is good. So do not take hormone replacement now. If you take testosterone supplementation, chances of decreased sperm count are there. Grade one varicocele does not require treatment unless it causes changes in semen analysis or scrotal pain. You need a workup for your erectile dysfunction. See your urologist.