Recurrent problem from 9 years ago or something more serious?

I am a white male, 27 years old, 5'10" 170lbs. Good shape, no other health issues, no medications. 9 years ago I was diagnosed with a hydrocele and varicocele. At the time I remember it being very alarming and painful before the diagnosis. What I remember from that event is that I had been masturbating to excess. Maybe 3, 4 times a day due to anxiety issues. At one particular session, I had ejaculated for the 3rd or 4th time in a day and experienced an excruciating pain in my left testicle. I went to the immediate care that night and they blew it off and gave me 500 mg naproxen (I'm not one to take otc or narcotic pain meds. I need to judge my pain myself to determine if the problem is better or worse, not mask it.) The next day I went to a different immediate care and they referred me to the ER. I didn't go and called my PCP in the am. That day PCP felt me up, felt weird stuff, and sent me to urologist, same day. Urologist and radiologist looked at ultrasound performed by urologist and decided hydrocele and varicocele. Sent home with more naproxen and an antibiotic (i think cipro?) I remember taking half coarse of cipro before blowing it off and not ever taking naproxen. I remember it cleared up on its own after a couple weeks. The pain is something like heavy, constant dull ache, sometimes sharp. Complete ED and hurts worse when aroused. Any arousal tended to hurt.

Fast forward to now, I still have anxiety and sexual issues, though much more leveled out. Was experiencing an extremely stressful situation in my life and was masturbating 2 or 3 times a day. Last Sunday I masturbated for the second time in that day(no ejaculation due to very strange feeling in testis) and my left testicle began to hurt. I tried to blow it off as the same thing, but had full blown anxiety attacks that whole day. I do want children, so knowing complications raise my anxiety. Monday I went into work and had panic attacks and left due to pain and panic. Called Dr when I got home at 830 when they opened. He said to see if things change or get worse, and he can refer me to urologist, past that he is no good. During our convo I told him I don't have health insurance. He called me stupid (jokingly) but I never saw a need for it as I hadn't had a health issue in 10 years. Now I work with heavy machinery and am a mechanic. Not always light duty work, but work had nothing to do with issue. I worked tues-fri after that with no problem except pain at night. In the morning my boys feel weird, but not painful, and move from no problem during day to pretty uncomfortable at night (6/10). Over this past weekend it has only gotten worse and now I decide I need to see a specialist. My fear and anxiety has been through the roof this entire week, and i wanted to wait to see if things would get better on their own. I cant find anything over the internet that describes what im feeling, but a lot of it is anxiety attacks and over googling, but still a decent amount of pain. I can feel swelling at the epididymis, and I can feel strong, coarse veins on the left side of testicle. No major swelling or atrophy of testicle, just ache ranging from dull to a pretty strong squeezing pain, but no discoloration of testes or urine. I tested my reflex, stroking inner thigh shows retraction of testicle. No torsion. Just pain and swelling at where epididymis meets my left testicle. I have no urinary symptoms. No blood, no extra need to pee, none of that. But what aggravated it worse was on Saturday my fiance (0% chance of std, we are engaged and serious. Absolutely.) tried to have sex and the arousal sent my problems into overdrive. I got erect but didn't even try for orgasm due to pain. A day later, now, I am stuck wide awake with anxiety, slight pain, and knowing even if I do get rec from Dr, it may be a while for specialist to see me. My boss is understanding but PTO only goes so far. This is my first post, and it is a desperate one at that. My fiancee has no idea how to relate and my pain isnt going away. She doesnt understand the sensitivity of the issue or the fact it might be a while before i'm seen by someone who knows. ER won't do much in my case, because if it isnt cancer or a torsion, they will just refer me to the same waiting list as my PCP. I'd be glad to talk to someone who has insight, or at least follow up to help someone down the road who might experience the same thing.

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