What Men Should Know about Varicocele? Understanding its causes, grades, symptoms, and Treatment procedures

varicocele treatment

Varicocele occurs in males when veins in the testicles become swollen. It is one of the most concerning issues related to men’s reproductive health. Approximately 12% to 15% of men worldwide possess this condition. It is also linked with infertility issues in men.

We must not take any issue regarding this lightly and address them at the right time. Otherwise, it can lead to a number of challenges, such as pain and discomfort and difficulty in having children. It can also make the person completely incapable of having children.

To date, society has failed to acknowledge the fact that infertility is a medical condition that has nothing to do with gender.  The objective of this blog is to highlight one of the most common reproductive health issues faced by men, “Varicocele.”  We also aim to minimise gender biases and social norms regarding the same. 

Continue reading the blog for information related to all you need to know about causes of varicocele in testicles,  symptoms, impact on male infertility, treatment and management tips. 

What is the main cause of varicocele?

As per male anatomical features, the testes are located outside the human body in a pouch called the scrotum. This is because the testes require approximately 2°C  to 3°C less temperature than the whole body for the production of sperm. Hence, temperature regulation is one of the most important factors for sperm production to take place. 

For this purpose, both the testes are surrounded by a bunch of testicular veins known as pampiniform plexus. When there is any kind of swelling or abnormal enlargement in these veins, this condition is known as Varicoceles. Now, the exact cause behind the swelling of these veins is unknown. However, there are certain factors that may contribute to the development of the condition.

Who is at risk of developing Varicoceles?

Well, if you have testicles, you can have varicoceles. As we have also mentioned this above that exact causes of varicoceles are unknown. Yet, there are some factors which are commonly observed in patients with this condition. Below, we will be mentioning all of these factors.

  1. Defective Valves: The valves present inside the testicles are responsible for directing blood towards the heart. When these valves weaken or malfunction for some reason, blood begins to build up in the veins, leading to swelling and the development of a varicocele.
  2. Genetics: If your ancestors had this condition, you are more likely to develop it. 
  3. Hormonal Changes: it is believed that certain hormonal changes, particularly during the puberty years, are a major factor. The increase in hormonal activity may lead to the dilation of the testicular veins, which is a cause of varicoceles.
  4. Age: Young men, comparatively have high chances of developing this condition. Typically, men between the age group of 15 to 25. 
  5. Physical Activity: Prolonged standing or sitting may cause pressure on the scrotal veins, and their dilation may lead to varicocele.

Varicoceles may also be caused by external conditions like tumours, kidney diseases or injuries that affect blood flow in the scrotal region.

Understanding the grades of a Varicocele

If you are diagnosed with varicoceles, how much effect it will have on your reproductive health and fertility depends on the severity of the condition. Doctors classify varicoceles into different grades on the basis of swelling that occurs in the scrotum. 

    1. Subclinical or Grade 0:This is the most initial stage of the condition. A physical exam is not enough to determine the presence of the condition, so an ultrasound is required. This stage does not cause any significant difficulties but must not be ignored by the individuals. As, it may develop further into severe stages.
  • Palpable or Grade 1: Though the swelling must not be visible during this stage, the patient can feel it. Your doctor may determine the condition using a Valsalva manoeuvre and ultrasound. (The Valsalva manoeuvre is a method of breathing that involves forcing air out while your mouth and nose are closed ) 
  1. Moderate or Grade 2: It is the second last stage of the condition. However, there is nothing to worry about even if you diagnosed your varicocele at this stage. The swelling is still not visible, but the patients can experience discomfort while standing, even without performing a Valsalva manoeuvre. 
  2. Visible deformity or Grade 3:  This is the most severe stage of varicocele. You and your doctor can clearly see and feel it without the need of any medical equipment.

Varicocele inhibits no to mild symptoms until it reaches advanced stages. Therefore, it is quite difficult to detect this disease early. The best way out is not to ignore any discomfort related to your reproductive health and connect with a doctor as soon as possible. 

How do you know if you have varicocele?

A varicocele can be confirmed only after an appropriate medical examination. Although the condition may inhibit symptoms like;

  1. The scrotum appears like a bag of worms: The enlarged veins may make the scrotum appear or feel like a bag of worms.
  2. One testicle is noticeably larger than the other: If one of your testicles appears to be smaller than the other, it must be due to the condition. One more important point to mention over here is that varicocele is more common in left testicles. 
  3. A non-painful lump in the testicle: In the early stage, the condition manifests itself as a small lump in the testicles. However, if the lump is one of the symptoms of varicocele, it will not be painful and will appear as a soft and rounded mass. While varicocele pain is rare, it can occur, particularly as the condition worsens. The pain typically manifests in the following ways:
  • A dull, uncomfortable ache in the scrotum: This discomfort is caused by the accumulation of blood in the scrotum.  The pain can be defined as a throbbing pain in the testicles or the scrotum region for long as well as acute time intervals. 
  • Pain that intensifies with standing: This is because standing for a long time leads to the accumulation of blood in the varicocele due to gravity, thus worsening the pain. On the other hand, lying down makes it easier for blood to flow out of the scrotum and hence causes less pain.
  • Pain that worsens after heavy exercise:  Intense exercise can make the blood flow harder, causing more blood to gather in the pampiniform plexus.
  • Pain that worsens in hot weather: Heat can cause the veins to dilate or enlarge, complicating the circulation of blood back to the heart.
  1. Infertility: Approximately 40 % of people experience infertility due to varicocele. 
  2. Low testosterone levels: Varicoceles can also interfere with the actual production of testosterone. Apart from infertility, low testosterone levels can lead to several issues.

Other symptoms include; 

  • You and your partner having  physical compatibility issues
  • Problems having an erection
  • Low sperm count
  • Some of the sleep disorders include insomnia
  • Loss of muscle mass and muscle power
  • Bone loss
  • Increase in body fat
  • Trouble concentrating

While symptoms alone are insufficient to confirm that it’s due to a varicocele. Yes, the presence of such symptoms may indicate the condition. However, clinical testing is required for accurate diagnosis. For this purpose, you may visit a doctor. In the next section,  we will be mentioning five basic tests performed for its diagnosis.

How do you confirm a varicocele diagnosis?

To confirm that you have developed a varicocele, your doctor may ask you for some tests. Such tests include;

  1. A Physical examination: In a clinical examination,  the physician will evaluate your scrotum thoroughly in both standing and lying positions. They will check for any swollen veins, as well as the size and shape of your testicles, for any type of abnormal findings.
  2.  Ultrasound: If a varicocele is suspected after the physical examination, your doctor might advise you for an ultrasound. The ultrasound process begins with a gel applied to your scrotum, followed by a small machine over the top of the area called a transducer. The transducer puts off sound waves that produce images of your scrotum, and the doctor can look at the veins and their condition.
  3. Semen analysis: If there are fertility issues along with the identified varicocele, the doctor may also recommend a semen analysis to assess your sperm count and quality.

While undergoing these tests, you could feel some discomfort. Patients often find physical exams uncomfortable and embarrassing. It’s good to pick a doctor you feel comfortable with.

Ultrasounds are pain-free and should be comfortable. Semen analysis is non-invasive and doesn’t hurt, though some may find ejaculation uncomfortable.

Any worries or fears that you may have should be discussed with your doctor. They can offer you more detailed information about what is going to happen during each test and can help you with any concerns you might have.

How to be ready for Varicocele Diagnosis?

Sometimes, certain factors may act as a hurdle in the diagnosis process. It’s always better to talk to your healthcare provider to know the basic details and necessities required. Here are some general suggestions;

  1. Fasting: At certain times, you may be asked not to eat and drink (besides water) for a specific amount of time before the test. After we digest food, our blood absorbs all the nutrients and carries them throughout the body. Fresh nutrients in the blood can affect the results of some blood tests, leading to incorrect diagnoses.
  2. Medication: Be sure to tell your doctor all the medicines you are currently using, including those that are prescribed, bought without a prescription( like painkillers), or other herbal products. Certain medications can interfere with the outcomes of your tests, and your doctor may recommend that you stop taking them for a while.
  3. Allergies: In case you are allergic to something, particularly contrast dyes that may be used in certain procedures, let your doctor know. This assists them to know the necessary precautions that they must take while testing.
  4. Clothing: Loose and easily accessible clothing should be worn as make the areas that are being checked accessible. For varicocele tests, you may have to undress from the waist or wear a hospital gown so wearing comfortable loose clothes is advisable.
  5. Ask Questions: If you have queries or you are concerned about the test, do not hesitate to talk to your doctor. They are available to assist you and provide assistance and information where necessary.

While, during the diagnosis, a doctor himself will ask you some questions to get a better understanding of your condition. He may ask about; 

  • How does the pain feel near the areas?
  • Where do you think you feel it most?
  • When did it start?
  • Is there anything that makes it better?
  • Is it always present or only present sometimes?
  • Do you have any history of groin or genital injury?

If you follow these steps, you will be ready for varicocele diagnostic tests. Consult your doctor to get a proper guideline on the specific matter.

After the diagnosis, if the results indicate that you possess the condition, do not delay in treatment. Even if, you have already entered the phase of fatherhood and do not have any further plans, you must still seek proper treatment. Otherwise, it may lead to complications with your reproductive health. 

How does Varicocele cause male Infertility?

Varicoceles have a reasonable impact on fertility. For any organism, reproductive well-being is necessary for life. We must not take any issue regarding them lightly and address them at the right time. Otherwise, it can lead to severe complications such as pain and discomfort and difficulty in having children. It can also make the person completely incapable of having children.

  1. Thermal Elevation: Varicoceles raise the temperature of the testicles and this has a negative impact on sperm production and sperm quality. The process of sperm development necessitates a cooler environment, and the resultant increase in temperature can lead to diminished sperm counts and reduced motility.
  2. Oxidative Stress: Varicoceles can result in elevated levels of reactive oxygen species, which can impact or damage the DNA and membrane of sperm cells, further diminishing their quality and their capacity to fertilise an egg.
  3. Low testosterone: Varicocele often leads to low levels of testosterone, which can cause many chronic diseases and affect sexual desire.

What if a varicocele is left untreated?

Not seeking proper varicocele treatment can lead to:

  • Chronic Testicular Pain: Failure to seek treatment for this condition results in chronic and relapsing pain in the scrotum. The primary causes include arteriolar hypertension and venous hypertension that results from increased pressure within the veins and nerve compression.
  • Testicular Hypogonadism: This is a condition when the body doesn’t make enough testosterone, also known as primary testicular failure. Signs of this include fewer spontaneous erections and smaller testicles.
  • Increased Risk of Testicular Torsion: Varicoceles can contribute to testicular torsion, a medical emergency characterised by the twisting of the spermatic cord. Quick medical help is needed to fix the problem and avoid damage to the testicle.
  • Testicular Atrophy: If varicocele isn’t treated, testicles can shrink and lead to testicular atrophy, a common issue in young men. But, early detection and treatment can stop this from happening.

As, you may know from the above sections that how important it is to seek a preoper treatment for this condition. So, if you are having varicoceles, do contact your doctor. Basically, thier are two methods of reversing the condition, one is surgical while another is non-invasive. 

Treatment options

Our reproductive organs are comparatively sensitive from other body parts. At the same time, they are as valuable as them. The simple way to decide that, which treatment will be suitable for you is to explore its procedures. If the treatment procedure involves the usage of sharp medical equipment and strong drugs, this method may not be suitable for everyone. 

Surgical treatment 

Varicocele surgeries are risky procedures. As, even after successful treatment, after surgery, people have approximately 45% of again getting the condition.  

It is also estimated that approximately half of varicocele surgeries result in a hydrocele that enlarges to a point where it causes sufficient discomfort to necessitate surgical intervention. Research suggests that large hydroceles may interfere with testicular function by insulating the testicles and disrupting normal functions.

Complications that may arise following the surgical removal of varicocele include:

  • Infection
  • Pain
  • Injuries and Scarring
  • Bleeding
  • Heart arrhythmias (which may occur during the procedure)
  • The injury of the testicular artery
  • Accumulation of fluid in the scrotum around the testicle.
  • Thrombosis or clot formation in the vein during the surgery, whether in the neck or groin.
  • Damage to the abdominal and chest veins during surgery

Is varicocele curable without surgery?

Homeopathy is the only medical system that offers varicocele treatment without surgery. Not only this, the homeopathic medicine for varicocele is safe, gentle, and causes no side effects on the male reproductive system. The treatment plan works at the root level of the disease to prevent its recurrence. 

The aim of the treatment is to minimise the pain, inflammation and discomfort that assist in cooling the testicles for better sperm. This aspect helps to cure varicocele naturally.

Now, we will be discussing about steps that a patient can implement himself for better management of his condition. This includes changes in diet as well as lifestyle. 

What food is good for varicocele?

As we all are aware of the fact that “Good nutrients improve wellbeing.” For every kind of disease, there are some specific foods that may help in better management of the condition. Let us now discuss the most beneficial food for varicocele patients

  • Add more fruits and veggies to your dishes: 

The most valuable dietary fibres are found in fruits and vegetables. Such nutrients assist you in keeping your stomach healthy. They also have antioxidants that could assist in the prevention of inflammation. 

  • Add more healthy fats in your diet:

Foods containing unsaturated fatty acids are good for your health because they contain healthy fats. They are helpful in the regulation of cholesterol levels in our blood. It can be found in foods like avocados, nuts, cheese, and extra virgin olive oil.

  • Pick lean proteins for your amino acids:

Lean proteins give you enough protein without making your cholesterol go up. They also have the important amino acids you need to fix your tissues. Tofu, fish, Paneer, and beans are full of lean proteins.

  • Restrict processed foods and added sugars: 

Processed foods and added sugars cause inflammation which worsens the varicocele symptoms. It is wise to cut down on processed snacks, soft drinks and sweets.

  • Stay hydrated: 

Drink enough water throughout the day. This can support improved blood circulation and the health of the whole body.

Diet changes can help with varicocele, but they’re not a substitute for medical treatment. Always talk to a doctor for a personalised plan.

How to naturally improve varicocele?

Here are some tips and tricks about varicocele natural treatment

  1. 1. Cardio Workouts: Doing cardio workouts like walking, jogging, swimming, or cycling often can make your blood flow better and help prevent blood from pooling in the veins that are causing trouble.
  2. Building Muscle: Adding muscle-building exercises to your workout plan can make your leg and pelvic muscles stronger, which might help with the symptoms of varicocele.
  3. Keeping Your Weight Right: It’s really important to keep your weight in a healthy range – too much weight can put more pressure on the veins and make varicocele symptoms worse. Aim to eat well and control your portions to stay at a healthy weight.
  4. Don’t Sit or Stand Too Long: If your job involves a continuous period of sitting or standing, make sure to take a little break after every hour.
  5. Avoid Tight Clothing: Tight clothes on the lower body, including belts around the waist and tight pants around the groin area, should not be worn because they hamper blood flow in the scrotum, thus worsening the varicocele situation. 

 

  1. Wear Supportive Undergarments: If the varicocele causes discomfort or pain, wearing comfortable underwear (like briefs) or a jock strap made up of breathable materials may help. 

Why choose us? 

As all over the blog, we have emphasised the sensitivity and tenderness of reproductive organs and how important it is to choose a treatment plan accordingly. With varicocele natural treatment and personalised medications, we regularly follow up with patients to ensure they are consistent with the treatment. 

We also mentioned about the importance of diet. Our best homeopathy doctor for varicocele at Bharat Homeopathy also serves their patients with an accurate diet plan that will fasten their recovery. They also offer counselling sessions for any kind of stress,  insecurity, or doubts related to their medical condition. 



Case studies of our Patient

This section highlights the effective recovery of our patients from various kinds of Kidney diseases. 

Kaushal Ji’s Remarkable Recovery 

Kaushal Ji, one of our patients, developed this condition after a hernia operation. The way to Bharat Homeopathy was a miracle for him. Kaushal Ji came to know about their services through their YouTube channel and contacted them on the 6th of October. Well, Kaushal Ji was equivalently dedicated to taking appropriate measures for his condition. 

Alongside sticking to the prescribed medication, Kaushal Ji faithfully stuck to a particular diet and exercise plan, which was vital for his recovery. In a period of one month, Kaushal Ji started to notice important relief. He said our clinic offers the best varicocele treatment.

 

After 20 days, the symptoms were considerably diminished, and he said he felt almost completely healed. Kaushal Ji is currently in his third month of treatment and is diligently taking the medication as directed. He is grateful for the non-invasive approach that spared him surgery and the considerable financial savings that came with it.

Successful Recovery from Varicocele

Ashwin Ji was feeling quite uncomfortable because of the varicocele. Infact, his condition had reached a point where he was unable to walk or enjoy proper sleep. He did make a choice between Allopathic and Ayurvedic treatments, but he found that they brought him no relief.

One day he came to know about Bharat Homeopathy from online sources. After that, he consulted with one of our experts, Dr. Sameer. The doctor prescribed him with a three-month treatment plan. Within 12 days after beginning the treatment with us, Ashwin reported considerable improvements in his condition. He was surprised to see the effectiveness of Homeopathic medicines. 

He encourages other patients to contact Dr. Sameer and talk about their good experiences, highlighting that surgery isn’t always necessary and supporting more use of homeopathic medicine in India’s healthcare. He also mentions the supportive comments from the family after seeing the treatment work well, strengthening his trust in homeopathy.



Teerath Ji’s Healing Journey

Teerath had been suffering from varicose veins for almost a year. Initially, he tried allopathy and Ayurvedic treatments without much relief. He also consulted multiple doctors but did not find a satisfactory solution. Allopathy doctors suggested surgery with high costs, which he couldn’t afford.

He explored other hospitals in Punjab but faced high charges and uncertain outcomes. He was not able to find a way to cure varicocele without surgery.  Then, he discovered Bharat Homeopathy through a relative’s recommendation. After starting his treatment from Bharat Homeopathy, he experienced significant improvement in health. The patient is now completely recovered and satisfied with the treatment.          

He was committed to continuing to follow the diet and taking medicine for long-term recovery, as recommended by our doctors. The patient advises others suffering from varicose veins to seek treatment at Bharat Homeopathy and not to go anywhere else.