Your symptoms of mood disturbance, anxiety, body tightness, and concerns about sexual performance can be interconnected, and it is good that you are already seeking help. Medicines like Opigad 50 help control anxiety over time, while Etilaam Pro 40 and Sommeil 0.5 provide short-term relief but can cause drowsiness and dependence if used for long periods, so they may need gradual reduction under medical supervision. Anxiety itself can affect sexual performance, causing reduced confidence, early ejaculation, or difficulty maintaining an erection, so treating anxiety is an important step toward improving sexual health. Your Varicocele may also affect sperm quality, and if fertility is a concern, a urologist can guide whether observation or a minor procedure is needed. For better overall results with fewer side effects, a combined approach works best; this includes adjusting medicines with your doctor, adding counselling or therapy to manage anxiety and phobias, regular exercise, relaxation techniques like breathing or meditation, and maintaining good sleep. Avoid stopping or changing medicines on your own, as this can worsen symptoms. With the right balance of treatment and lifestyle changes, both anxiety and sexual concerns can improve significantly over time.