Yes, they should be doing something more. They didn't examine your scrotum? This sounds like grade 3 varicocele. A urologist would probably be the best doctor specialty to see but I guess you have to go to your primary first? The first doctor doesn't seem to be very thorough. Does ibuprofen help with pain? Often varicocele will get better on it's own and you manage with ibuprofen or Tylenol for pain. But you are in Such pain and have a history of vein issues. You may require more aggressive strategies. So, what kind of doctor are you seeing today? PC? Make sure they examine your scrotum and if need be, get your referral to the urologist! Sorry you are dealing with this!