Varicocelectomy Is Not a Cure.
Learn the facts. Make an Informed Decision.
Mr. Daniel Johnson, B.Sc.
It seems like doctors lose all rationality as soon as you're diagnosed with varicocele. They blame your condition (varicocele) on unknown factors, and any symptoms that you may have (e.g. infertility, low testosterone, testicular pain, hypogonadism, etc.) on your varicocele. Now, they give you one of two options:
Oh, and if you have pain, they might recommend some pain killers.
If you get "lucky" and get a really "good" doctor, he might recommend a scrotal supporter.
Seems like all rationality and the last 1,000 years of medical and scientific advancement just went right out the window.
Your doctor is likely setting you up for failure with all of these strategies!
✗ Wait & See If Your Varicocele or Symptoms Will Improve
As it turns out, when it comes to varicocele, the worst thing that you can do is: Wait! Both varicocele grade and severity increase with time if left untreated. So, telling you to "do nothing" and "wait and see" is the same as telling you that there is nothing that can be done to improve your condition other than to wait until it is bad enough for you to be forced to have surgery. Yep, setting you up to fail.
✓ Don't Do "Nothing"!
Don't wait for surgery. If you have a varicocele, there is a lot that you can do. Sign up for the 100 Free Varicocele Treatment Tips & see for yourself.
✗ Take Pain Killers
If you have varicocele pain, it is pretty normal for your doctor to recommend temporary pain relief medication. But, the problem is that these medications typically have the symptom of worsening digestive health. Poor digestive health is a varicocele risk factor. So, when get off these medications, when you get off them, your symptoms typically worsen!
✓ Improve Digestive & Bowel Health
Constipation, poor digestive health, irregular bowel movements, and bloating all varicocele risk factors. They exacerbate the Nutcracker Syndrome. So, if you have any of those risk factors, you'll notice improvement of your varicocele and symptoms by correcting them!
✗ Scrotal Supporters
I find this one really backwards. Doctors treat testicular varicocele as if it is a varicose veins in the legs, and recommend that you wear compressive undergarments to help improve testicular blood circulation. While it sounds like it makes sense at first, it completely ignores that the testicles are completely different than the legs... Sure, compression helps, but, normal scrotal support underwear overheats the testicles, and at the same time prevent the testicles from dropping down to cool. Oops, they missed the only reason why you have a scrotum.
✓ Proper Scrotal Support Underwear
Proper scrotal support underwear takes into consideration that your testicles need both scrotal support and maximum cooling. Avoid generic brands. Get STUD Varicocele Therapeutic Underwear.
✗ Surgery or Embolization?
Which is better: Embolization or varicocelectomy?
✓ Avoid Both!
Both surgery & embolization are bad options! Don't fall for the surgery vs embolization marketing tactic. Embolization is typically sold as a "non-surgical" alternative to varicocelectomy (surgery), with only a small "small incision", "no general anaesthetic", and on an "out-patient bases". Hmmm, that sounds great, right?
Hmmm, I think we forgot something... Oh yeah, Results! Will it treat your varicocele? Will it improve your fertility and help you attain successful pregnancy? Will it cure your pain? Well, as it turns out the answer to all of these is "likely no", and "we're not certain". The science is really lacking on embolization. Surgery is likely also fairly ineffective for pain relief and improving pregnancy rates. The results for both surgery and embolization are uncertain.
But, you know what is certain? The risks of both surgery & embolization! Comprehensive: Surgery & Embolization Risks & Benefits >
✗ We Don't Know What Causes Varicocele
Genetically faulty valves? Nutcracker syndrome? We just don't know what causes varicocele! There is nothing that you can do, but blame your infertility on varicocele. Blame your testicular pain on varicocele. Blame your hypogonadism on varicocele. Forget your shitty lifestyle: The fact that you sit 8-12 hours a day on a cushion chair that traps heat for work, or the fact that you've inactive, or that you chain smoke. No! Forget about all of that, and just focus on varicocele--that's the real problem here. And, there is NOTHING that you can do about it.
✓ There is a Lot That You Can Do!
Actually, when it comes to varicocele, infertility, testicular pain, etc. there is a lot that you can and should be doing! Here is a quick and easy example: When it comes to infertility, even if caused by "varicocele", is there really nothing that you can do? What about being more active? What about cooling down your testicles? What about improving your diet and managing your stress?
There are many specific varicocele lifestyle risk factors, and many at home varicocele natural treatments. Now, again, just sign up for the 100 Free Varicocele Treatment Tips and see for yourself. Or, start with one of my Varicocele Natural Treatment Programs now & get varicocele under control!
Remember: When it comes to varicocele, the worst thing that you can do is "Nothing", and really, there is a lot that you can do! So, do something!
✓ Don't Do "Nothing"!
✓ Improve your Lifestyle Risk Factors
✓ Wear Proper Cooling Scrotal Support Underwear
✓ If Possible, Avoid Both Surgery & Embolization
✓ There is a Lot That You Can Do!
Well, both are bad options. Don't fall for the surgery vs embolization marketing tactic. Embolization is typically sold as a "non-surgical" alternative to varicocelectomy, with only a small "small incision", "no general anaesthetic", and on an "out-patient bases". Hmmm, that sounds great, right?
Hmmm, I think we forgot something... Oh yeah, Results! Will it treat your varicocele? Will it improve your fertility and help you attain successful pregnancy? Will it cure your pain? Well, as it turns out the answer to all of these is "likely no", and "we're not certain". The science is really lacking on embolization.
But, you know what is certain? The risks of embolization.
Embolization is a radiological procedure, that means x-ray exposure, and x-ray dye injection to help visualize the veins. It also has a high varicocele recurrence rate--up to 35% for right-sided varicoceles. 10-35% chance of hydrocele formation. Oh and my favorite one: Coil migration resulting in testicular loss... And many more risks.
VARICOCELE SURGERY IS NOT A CURE
It's important to know that varicocele surgery is not a cure for varicocele. It's simply a treatment method, and not an effective one. Consider: Varicocele surgery, is not effective for pain relief, and only has an NNT of 7 for improving pregnancy rates (14% improvement). Also, consider:
WHY IS SURGERY THE ONLY TREATMENT OPTION?
Well, no, surgery is not the only treatment option for varicocele. It is a little confusing at first, because when you search for varicocele treatment methods, all that you see are "Surgery", "Surgery or Embolization", or "Do Nothing". Not surprisingly, 99% of the scientific literature is also on surgery, embolization, or doing nothing. Very few scientists seem concerned with the alternatives. It does seem odd at first, but consider that surgeons and radiologists charge anywhere from $8,000 to $20,000 for a one hour procedure, which translates to an over $300,000,000 market per year, in just the United States. The money dictates the content, and the scientific research. Not a conspiracy, just how money, marketing and research work. Simply, marketing and research require financing to function. But, you have to realize that this also heavily skews pretty much everything in favor of surgery.
WHY DOES VARICOCELE REDEVELOP AFTER SURGERY?
Well, simply because surgery treats the symptom of swollen veins, and does Not treat the root cause of varicocele. I've studied the 1% of the science that talks about alternatives to surgery and embolization, and the science shows that lifestyle is very important [2, 3]. Moreover, when it comes to testicular health, fertility and pain, there is a lot that you can and should be doing. For example, if you have infertility and sit all day for work--should you get varicocele surgery, or improve your lifestyle? If you have a poor diet, should you have surgery, or correct your lifestyle? If you have very high stress, should you have surgery, or correct your lifestyle? You know, I think it's pretty straightforward, but the over-fixation on surgery or nothing mixes us up.
Here are some examples of controllable varicocele risk factors (the root causes): We know that taller men experience higher rates of varicoceles, but this isn't necessarily because of their height. Actually, it is likely that taller men simply have worse posture, which is a controllable varicocele risk factor. We also know activity type is a risk factor for varicocele: E.g. men who play basketball experience higher rates of varicocele than those who swim. We also know that bowel health effects varicocele: E.g. constipation and irregular bowel movement are positively associated with varicocele. We know that the percentage of men with varicocele increases in countries the modernize (e.g. increased sedentary lifestyle, change in diet, change in activity type, increased postural imbalances, etc.) So, really, in conclusion, there are many controllable varicocele risk factors, and focusing on surgery--as the only solution, is really just misleading, and the reason for why varicocele redevelops after surgery.
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