Well, you have to ask yourself--"What is varicocele, and what's really causing the testicular shrinkage and infertility?" I think your doctor is trying to push an un-educated and emotional interpretation. Which is clearly flawed in many ways. 

But, before I even begin digging into that... There is little to no scientific evidence that even says your testicles will regain size after surgery. Moreover, the benefits of surgery are only present in 1 in 7 men who undergo the procedure--AT BEST. That's the real science behind it. So, his interpretation that surgery is the final option is obviously misleadingly false. Surgery is not even effective at alleviating  pain. Many scientific reviews also say that surgery might not be effective at all. Moreover there are specific criteria that must be met by the patient, for surgery to be effective. Do you meet those criteria? Does your doctor even know/care what those criteria are? 

Now, to dig into the un-educated emotional components... What really causes testicular shrinkage and infertility? That's a fundamentally important thing to know! The answer is varicocele pools blood that causes 3 things:

1. Toxin pooling, especially increased concentrations of ROS (reactive oxygen specifies)
2. Lack of nutrient exchange
3. Testicular over-heating (in most people, at times over-cooling)

Now, can you treat each of these individual cases without surgery? The answer in many ways is Yes You Can.

Let's break it down 1 by 1:

• Herbal supplements that have specific antioxidant properties like Gradeseed/Pinebark, Bilberry, and some Vitamins have been shown to reduce the ROS effect 
• Some herbal extracts can increase portal & capillary vein blood flushing e.g. Horse Chestnut & Hawthorn 
• Why not improve testicular blood circulation? There are many ways of doing this. E.g. address the risk factors that exacerbate the Nutcracker effect, and also what causes increased abdominal pressure. I cover these in detail in the Healing Guide. 
• There is even more that you can do, for example, why not reduce your overall toxin exposure? 
• Even more... Cooling the varicocele (testicular portal veins) increases their contractility--this minimizes blood pooling. 
• And more...? What about supportive & cooling varicocele therapeutic underwear (NOT Standard Supporters)?

Does surgery correct any of these? I think not. 

• This is very similar to the previous point in that it requires improving testicular blood circulation
• The key difference is many people are lacking proper nutrition for their testicles and varicocele
• Moreover your testicles have enzymes (the things that make the testicles work!) that only function at a certain temperature. Therefore you MUST manage testicular temperature.

Does surgery correct any of these? I think not.  

Hi Daniel,

Hope you are well. Just wanted to see if you have done any research on or have any opinions on varicocele embolization as a way to increase my fertility?

Just a follow up from previous email i wanted to send some data from trials:

Also, just a reminder to please let me know when you have received new stock of stud underwear!

Kind Regards
NAME

"Technical success" just means that the procedure was successfully completed. It has nothing to do with your personal results. It doesn't mean that your varicocele swelling has reduced. It also does not mean that you won't develop permanent discomfort or pain from the coils. It also doesn't mean that there wasn't serious damage done during the procedure. It also has nothing to do with improved chances of pregnancy.

The recurrence rate of embolization has been reported to be as high as 30% for right-sided varicoceles. As well, I believe meta-analysis (not 1 study) show that there is a much higher varicocele redevelopment rate than this study misleads about. 

Yes, 35% of infertile couples who undergo embolization can have a successful pregnancy. That's awesome right? Nope. The normal, natural rate, without embolization is about 33% or 34%... They gave a "11-60%" range to mislead you. 

The problem is that all of these studies are backed by radiology departments. There is also a massive over-publication on surgery and embolization. So, if you wanted, you could run a meta-analysis, and select only the ones that favor the conclusion that you are looking for.

My question for you is: Why are there almost zero scientific studies looking at Lifestyle Interventions for varicocele treatment? Just because there is no money in it.

Oh, and here is another question for you: Why are there almost zero trials looking at the "interventions" in improving varicocele pain? Because they aren't very effective at all for improving pain, and can often cause increase of pain or permanent discomfort/pain. 

I hope that helps clarify things for you. 

Oh, and if you're looking to improve your fertility, I'm pretty sure that varicocelectomy has a higher effectiveness than embolization for that. You should research it further if you're committing to one of these procedures.

Here is what my research has found: https://varicocelehealing.com/surgery-risks.html

Here is a good post on Varicocele & Infertility for you: https://www.youtube.com/watch?v=Rnzce2FNw-w

<Name>​, sorry, I don't have much time these days because I'm super flooded with emails and in the process of launching a new business. I'll try to quickly review your risk assessment to help you.

• Grade 2 bilateral: Not good. Start your treatment now to prevent this from progressing to grade 3!
• Moderate atrophy: Not good man. It means that your varicoceles have already damaged your testicles.
• 5/10 varicocele pain: This means that your varicoceles are Currently damaging your testicles.
• Lower back pain: You're wayyyyyyyyy too inactive. You MUST become active again.  Inactivity is big infertility, pain and varicocele risk factor!
• Boxers: Get rid of them for now. No boxers. Just go commando. OR wear supportive & breathable briefs/boxer briefs.
• Completely inactive because of varicocele pain: That's ridiculous. You MUST be active. Go see a specialist to make sure no other condition is present. Having that much discomfort is crazy. You can also follow the advice here: https://varicocelehealing.com/exercising-with-varicocele <-- Good tips on being active with varicocele.
• Pain when walking fast: See your doctor or urologist asap.
• Current Treatments: Feet up on the wall, cooling & garlic: That's good. It's a good start. It really is a good start. But, I recommend starting with one of my Varicocele Healing Treatment Packages to get quick and best results.
• Horse Chestnut and Rutin: Start with the Varico Health Kit instead: www.varicococelehealing.com/treatments#products. This way, I have better control over what your specific treatment experience and results will be, and will be able to better help you.
• How can i walk smothly without varicoceles pain (many times) ? Yes you can walk smoothly without pain again. #1) Make sure you have no other disease, go see your doctor. #2) Start with the previously outlined treatments.
• I want to play football with my friend is it ok or risk? No, not a risk! Go be active! Get rid of your boxers too. Play commando, or with very breathable briefs.

​
IMPORTANT: I have a hunch that you have a non-varicocele disease as well. Please go in to see a qualified specialist to confirm that you have no other conditions present!

That's it, sorry I can't dig any deeper into your specific condition--I have No time left today! 

www.varicocelehealing.com/treatments#packages -- Start with the Complete Treatment Package, it has the Varico Health Kit, Varicocele Healing Guide, Pain Relief Guide, and the Varicocele Yoga Video Series--so that you can be active at home. It's perfect for your specific exact case. It Will Help.

Start with it ASAP--Don't Wait! Again, realize that your testicles are already damaged (atrophy), and currently being damaged (pain symptoms)... Start Now. Don't delay. Top Priority!!!!