No 100% Cure: Is there a 100% cure for varicocele? Unfortunately no, there isn’t. Surgery is not a cure. Embolization is not a cure. There is no medication for curing varicocele. No herbs. No supplements. And, not even my natural treatments or yoga. There is no 100% cure. However, my treatments are likely the most effective treatment option. I have developed my treatments from personally helping thousands of varicocele clients. Right now, my treatments are good enough to help completely cure varicocele pain, restore fertility, reduce varicocele swelling size by 40-60%, and prevent varicocele progression. That’s pretty good, considering the alternatives, and that my treatments don’t take more than a few minutes per day, and are actually good for your health.

​I've had many clients with horror stories. Recently one that made me very upset was when I was contacted by a teenager from India. He was 19 year old boy. He had already undergone 3 operations. Two surgeries and one embolization. And guess what: He didn't even have pain before his first operation, but now, he has permanent pain. Unfortunately, I told him that I likely can't help him. These procedures have risks, and developing permanent, chronic pain, is possible. I gave him a copy of my books and yoga series for free, and offered to advise him in his treatment--free of charge. My treatments do seem to help those who have previously undergone surgery, but, 3 operations at 19? Who knows how it will go.

​Maybe you should be looking at your own lifestyle, and exactly what risk factors are affecting you, not at a surgeon that makes over $10,000 per 1 hour operation.  Now, I'm definitely not saying that all surgeons are bad. The business of surgery just has massive benefit from skewing the evidence to its side.  Think about how big the market is.  About 15% of Americans have varicocele, 3-5% of whom have infertility.  That's a lot of people who are need a solution!  That is a massive market.  Varicocelectomy is an over $300,000,000 market per year. That is a lot of money! And that's just in the United States. It's not even considering the abusive practices in countries like India, Nigeria, Philippines and Pakistan.

​Want to hear something crazy?  Simply cooling your testicles at night by just 1 degree C (1.8 degree F) leads to vast improvements in various sperm parameters (sperm count, concentration, mobility, and morphology) [25].  The crazy thing is that—this is better than surgical results. Read the facts!!!  Now, as it turns out, you also need to perform a few other natural treatments along with cooling to get the best results.

Before considering surgery, you need to know the NNT, and the complete list of benefits vs risks.

In order to repair a varicocele the following criteria should be fulfilled 1:

1. Involuntary infertility of at least one year.
2. Presence of a palpable varicocele at the upright position and during a Valsalva manoeuver.
3. No detectable or at least no irreversible cause of female infertility.
4. Normal testicular size (> 15 cm3) or small reduction of the ipsilateral testis 2.
5. Evaluation of at least two semen analyses at three months interval. The presence of normal semen analyses excludes varicocele as the cause of infertility. The usual effects of varicocele on sperm parameters include mild and moderate asthenospermia, teratospermia or astheno- teratospermia. Initially, sperm concentration is not seriously affected, though later all three semen parameters can gradually deteriorate, resulting in azoospermia in very few cases 3.
6. Normal values or slight increase (less than the double of the upper normal range) f serum FSH levels, as very high levels of serum FSH denote primary testicular failure.

Additional factors that must be considered before deciding the therapeutic approach of varicocele in an infertile couple include 4:

1. The advanced age of the wife (older than 35 years) and high serum FSH levels should drive the decision towards the ICSI solution rather than repair of varicocele 5.
2. In case of chronic presence of varicocele and advanced male age, surgery should be avoided.
3. Surgical repair of varicocele is recommended in case of secondary male infertility 6, 7. On the other hand, if the patient has primary infertility, azoospermia, small testicular size and high serum FSH levels, the presence of varicocele should be ignored and surgery should be avoided, as the diagnosis in this case pleads towards primary testicular failure.
4. The diagnosis of SCOS or maturation arrest in FNA or open testicular biopsy denotes primary testicular failure. Thus, the presence of varicocele should be ignored. On the contrary, the presence of mild or moderate hypospermatogenesis can be attributed to varicocele in which case surgery can be a reasonable therapeutic approach.