Chaleur palpable

[A19bdel]

I have heat in the groin and perineum as well as the left upper limb, it is a heat that can be felt, excessive, constant and permanent and which does not disappear.  It varies depending on the outside temperature, when it's hot I sweat and I cool down a little but it doesn't disappear and when it's cool it increases.  I am 23 years old and I had this heat at the age of 19 until now but I discovered at the same time a left varicocele grade 2 and I always believed that it was varicocele  which heats my perineum and my 2 groin folds but the heat is not typical.  As for the varicocele, I plan to treat it soon.  I did a bunch of imaging on the pelvis and lumbosacral spine as well as biological tests but the internal doctor found nothing.  moreover what worries me the most is that my spermogram is very altered with this heat around the bursae even though I have a left varicocele my urologist told me "that we can have a normal spermogram even with just one  normal testicle but here I think it's bilateral or that there are other things". So please tell me has this happened to you before?  Can varicocele be responsible for such symptoms or are there other diagnoses to look for? Are there neurological problems that can manifest themselves in this way?  Please tell me the possible diagnoses