My guess is that Less Wrong can’t really help you. Maybe you could pay someone like @Elizabeth to investigate? Otherwise all I can offer is what GPT-4 gives me back when I plug in your post:
I’m sorry to hear about your ongoing discomfort and the negative impact it’s having on your daily life. Please remember that while I can give general advice and suggest potential routes of investigation, I’m an AI developed by OpenAI and not a doctor. Your healthcare provider is always the best source of guidance for personal health matters.
Given the nature of your problem, it may be beneficial to consider an interdisciplinary approach that combines urology, dermatology, and perhaps even endocrinology. While it may be difficult to find a connection between your varicocele and localized hyperhidrosis, you may want to ensure all possibilities have been investigated.
Given that you’ve tried medications typically used for hyperhidrosis without success, you may want to consider treatments that are more focused on the specific area, such as Botox injections which are sometimes used for severe underarm sweating, or topical treatments like prescription-strength antiperspirants.
Elevated blood pressure could potentially contribute to increased sweating, although the sweating you describe seems to be localized, which would not be typical of this cause.
It may also be worth exploring if there is a neurological cause. Some people experience excess sweating due to issues with the nerves that control sweat production. This is usually a widespread problem rather than a localized one, but there are exceptions.
In terms of your varicocele, while it’s true that an increase in scrotal temperature is one of the potential side effects, there’s not a well-established link between varicoceles and excessive sweating. However, if the varicocele is causing discomfort, dealing with it may be worthwhile even if it doesn’t resolve the sweating issue.
Also, have your doctors considered the role of anxiety or stress in this situation? It’s known that anxiety can cause excessive sweating, and the distress you’re experiencing could be contributing to the problem.
Finally, you might consider seeing a specialist in thermoregulatory disorders. Such a specialist might be able to offer more specific insight or suggestions for further testing or treatment.
In any case, do not give up. It may take time to find the right specialist or treatment, but there are many potential avenues to explore. Be sure to keep your healthcare providers informed about how much this is affecting your quality of life, as this is an important factor in treatment decisions.
My guess is that Less Wrong can’t really help you. Maybe you could pay someone like @Elizabeth to investigate? Otherwise all I can offer is what GPT-4 gives me back when I plug in your post: