Mr. Daniel Johnson, B.Sc.
I surprisingly get this question a lot! What is the best position to be sleeping in at night if you have a varicocele? Well, I actually have more advice than just “sleeping position” for when you sleep at night. As I emphasize in the Varicocele Healing Guide, nighttime is a critical time for naturally treating varicocele at home. So, these are very important treatment advice for you.
When it comes to nighttime, there are 2 major factors to consider:
VARICOCELE HEALING AT NIGHT
✓ DO Sleep in a position that maximally drains your varicocele (feel your veins)
✓ DO Notice that the best position typically differs day by day
✓ DO Try sleeping on your back and stretching your head away from your heels (decompression)
✓ DO Try sleeping on your back with your knees bent
✓ DO Try sleeping on the opposite side of your varicocele (e.g. sleep on right side if you have left-sided varicocele)
✓ DO Sleep without underwear and pants of any kind
✓ DO Sleep with varicocele therapeutic underwear at night
✓ DO Keep your sleeping environment cool
✓ DO Perform a 5-10 minute inversion at before sleep (e.g. feet up on the wall yoga asana)
✓ DO Focus on improving your sleep quality (it makes a big difference!)
✗Don’t Wear any type of tight waist underwear, shorts, or pants
✗Don’t Allow yourself to be bloated before bed
✗Don’t Get stuck in one position all night (you should adjust and move around—it’s healthy)
✗Don’t Be paranoid about sleeping position—a good night’s rest is typically more important
MORE AMAZING VARICOCELE HEALING TIPS
Does Excessive Sitting Cause Varicocele?
The average American sits 7.7 hours per day. So, odds are very high that YOU too are at risk.
Sitting for more than 7-8 hours per day is a major risk factor for both infertility and varicocele. But, the challenge is that many of us sit for relaxation, sit during commute, and sit for work! So, the solution isn't to stop sitting, but to make sitting better.
Sitting Overheats the Testicles!
Most chairs (especially cushion chairs) trap heat and cause testicular hyperthermia--which effectively halts sperm production, and increases varicocele swelling size. It is therefore critical to sit on better chairs, minimize continuous sitting time, and when possible use cooling devices.
Sitting Causes Muscular Imbalance & Tightness
Excessive sitting causes postural imbalances such as forward head posture, rounded upper back (thoracic hyperkyphosis), and hip tightness that all translate to poor muscle activation, excessive downward weighing pressure (preventing blood from leaving testicles to return to the heart), and impaired bowel health. All of these exacerbate the Nutcracker Syndrome, and increase abdominal pressure, impair blood from leaving the testicles, and lead to increased varicocele blood pooling.
4 minute daily routine you need to follow to counteract the negative effects of excessive sitting:
Excessive Sitting Impairs Bowel Health
Poor bowel and digestive health are causative risk factors for varicocele [science source]. Sitting increases the risk of developing conditions such as constipation, inflammatory bowel disease, acid reflux, etc. Therefore, we must take some precautions to minimize the negative impact of excessive sitting.
Is it okay to use a hot tub or sauna with varicocele?
Can you even take a hot shower with varicocele?
Look, there is nothing wrong with using a hot tub or sauna, and most definitely nothing wrong with hot showers. However, excessive or prolonged elevation of scrotal temperatures can have negative implications on pain and infertility. So, do your best to keep your testicles at a normal temperature on average. And, look, reduce long-duration heating (e.g. hot tubs or saunas) if it worsens your symptoms.
I should however make a note that early in your treatment (e.g. three to four weeks), it is ideal to minimize all stressors, and that means no hot tub or sauna. However, after the three to four weeks of treatment, once you have gained some good results, your testicles will be much healthier and more resilient to stress.
Dos & Don'ts of Hot Tub, Sauna, and Hot Showers
✗ Don't expose your testicles to excessive or prolonged heat stress
✗ Don't worry occasional heat exposure
✗ Don't worry about keeping your testicles cool all day
✓ DO I highly advise a cool or cold shower after hot tub or sauna
✓ DO run some cool water over your testicles after hot tub, sauna, or a hot shower
✓ DO keep your testicles cool in general, not 100% of all day
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