Boxers provide no benefit for varicocele because they trap heat, and do not provide no support. This means both scrotal sagging (increased varicocele size) and overheating.
Do not wear briefs if you have a varicocele. The main problem with briefs is that they squish the testicles and penis together into a ball. This traps lots of heat. Compression and with over-heating creates testicular dysfunction (it prevents the testicles from dropping to cool, and over-heats them too.)
Scrotal support underwear has the exact same problem as briefs. They compress the testicles and penis into a lump, over heating them and preventing the testicles from dropping to cool. They cause a lot of damage to the testicles. Many ill-advised doctors recommend scrotal supporters for those suffering from varicocele.
Commando / No Underwear
I advise going commando over wearing boxers, briefs, or supporters. Cooling should take precedence over compression. Without cooling compression is dysfunctional.
The best underwear for varicocele provides maximum cooling, separates the penis and testicles, and provides healthy scrotal support & compression. These combined together are very beneficial for varicocele. They help cure varicocele pain, reduce swelling, and improve both fertility & testosterone.
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