Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is- Your current health issues seem to be due to -Testicular Congestion from Varicocel. The fact that the hot bath reduces the inside testicular itch, indicates that the relief is from the Vasodilation leading to the relief of the testicular congestion. Impotent feel could be from Varicocle with Low testosterone harmonal levels.this could be from the testicular atrophy from the chronic venous insufficiency of the testes with resultant dysfunction from low oxygen supply. You should consult Surgeon/Urologist-from Surgical department. Hence Other causes - need to be ruled out,by verification with Physician. Do s- Consult with Surgeon/Urologist who would investigate history and physically examine to fix the cause of inside testicular itch. Get USG of scrotal area and Colour doppler to fix Varicocele. Micro-Vascular Surgical ligation of the regurgitating veins of Pampiniform Venous plexus is the treatment of choice for its Cure. This would resolve the complaints of your s. Constant follow-up with local family or specialist Urologist /Surgeon for long term would give you long remissions of such pains in time to come,which would depend on meticulous follow-up treatment of your health concerns. Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. For early recovery-please follow above do s which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link- http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Wishing Good Healthy Life!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS