​CUSTOMER NAME, well, I treat those as being the same thing for simplicity reasons. It's really all semantics, and most people don't require the specific knowledge. 

If you want me to be very specific, here it is for you:

Swelling reduction: Yes, there is typically an inflammatory component that results in varicocele swelling. The inflammatory component can be caused by various factors, such as:

• Testicular over-heating
• Varicocele toxic blood pooling
• Physical trauma or micro-trauma
• Inflammatory markers and conditions 

Yes, my treatments do focus on treating the inflammation/swelling. 

Varicocele size: Yes, the actual varicose veins, that are increased in size, are a separate, but related, condition. Here is some of what I consider when looking at increased vein size: 

• Excessive abdominal pressure
• The Nutcracker Syndrome
• Vein valve function
• Venous health
• Scrotal sagging and support
• Lifestyle risk factors
• Testicular health

Yes, my treatments also focus on treating the increased vein size. 

I have noticed that the best results come when you address both components! That's why I provide you guys more than just the Healing Guide with step-by-step treatment; I also provide you guys the Varaco Health Kit, and STUD Underwear as well. They all help make a big difference. 
www.varicocelehealing.com/treatments.

I hope that makes sense for you! 

Please let me know if you have any further questions on that, or require any other help.

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

Hi Daniel,
      Sorry I took so long to reply. I'm a bit busy with school. So I got the ebook and Varico Health Kit. I've been reading through the ebook and do have one question. First, pretty much my only hobby is skateboarding. While I only do it once a week while at school, during the summer I do it 3-4 hours every other day. Now Skateboarding involves a lot of jumping, which is a risk factor. So I'm wondering if you think I'll be okay if i have supportive/breathable underwear, shorts, and frequent cooling while skateboarding? Or should I really take a break from skateboarding? Also, I happen to have some reishi and chaga mushroom supplements. Have you heard of or used these? I wonder if they might be beneficial. Anyhow, I'll let you know if I have anymore questions. In the meantime I'll try to incorporate the treatments into my day! Thank you.

(Name) okay cool. Yeah, skateboarding is okay. I'm sure you'll be fine. Yes, breathable and supportive underwear help make a big difference. There is a whole chapter on how to be active with varicocele in the Healing Guide, but here is kind of a summary of what to consider for you:

• Pre-exercise: No masturbation/sex for minimum 2-3 hours pre-workout, no working out on a full stomach (give minimum 1-2 hour to digest), no exercising when bloated, a cool (not cold) shower before a workout helps (but is not necessary)
• During-exercise: No tight belts, pants, or waists, exercise with good technique and posture, promote muscle balance and posture with your workout, no protein shakes or energy drinks during workout 
• Post-exercise: Stretching & inversions help, a cool shower post-workout is almost mandatory (with minimum 10-15 seconds of cool* (not cold) water running over your testicles

That will help. You don't have to follow all of it, but that's the idea--and they all help, independent of exercise type, be it squats, weight lifting, sports, skate boarding, etc.

Regarding your supplement, unfortunately, I haven't heard of them, but, in general, I advise caution and moderation with supplements. I'm not sure if they'd actually make any difference for your varicocele in all honesty.

Okay, that's good to hear thank you! I think the stud underwear could really help reduce the effect of constantly jumping while skateboarding. Anyhow I've gone through the book and figured out what I need to do. I just had a few extra questions for you about things I couldn't pick out from reading the book. Thank you!

• Questions: how much inversion per day is best (what's too much)?
• What temperature water is cool and cold? If it feels only cool on the testicles is it cold?
• How hard should I make the yoga, postural, and other exercises? It seems like some might not be very challenging.
• When is it good or bad for exercises to be more challenging/intense?
• Can I do more intense ab exercises or should I keep it low intensity?
• How long into the recovery could/should I resume intense lifting or skateboarding?
• What kind of progress is possible? What have you seen? Increase in testicular volume? Testosterone levels?

​(Name) cool! Thanks for getting in touch. Yes, the STUD Underwear is very helpful. I personally however like workout out underwearless--but that's a personal preference, and my workouts are a little different than Skateboarding which involves more jumping, and more fresh air and cool environment. 

• Q1: How many inversions? 
  • As much as you like in all honesty. I recommend 1-2 times per day max, because I don't want my clients to worry about spending too much time on the treatments. It's helpful, and likely you won't notice too much additional benefit from more than 1-2 times per day. But, if you like, you can do more. Personally, ideal, for me is 1 time per day.
• Q2: Cool vs cold? 
  • Stay on the safe side -- don't over-cool. If it feels good on your face, it's good on your scrotum. Sorry, I don't have an exact temperature right now, but, that's a really good idea for the new addition of the Healing Guide. Be contentious-- sometimes, a little cooler is okay, sometimes a little warmer. Just don't do anything that feels uncomfortable. It should feel good. 
• Q3: How strenuous should the Yoga, postural and other exercises be? 
  • Well,l the Yoga Exercises that I recommend in the Varicocele Yoga Video Series are more so for therapeutic effects, specific stretches to help improve posture, ways to improve bowel health, reduce stress, etc. They're technically not meant for "Exercise" per-se. So, they shouldn't really necessarily be strenuous. I am working on the next edition of the Yoga Series which will include a more difficult exercise/yoga sequence--that will be more so challenging. Oh, and no "high-risk" exercises for the first 2 weeks of treatment. 
  • Regarding anything related to posture and exercising, they can really be as challenging as you like! But, ensure good technique! E.g. you can even do heavy deadlifts, but, make sure you follow the previous advice I gave you on exercising, and make sure you use good technique (search "perfect deadlift technique" on YouTube, and watch the first 10 videos.) <-- Just an example for you.
• Q4: Can I do more intense ab exercises? 
  • I would recommend slowly building up in all honesty. Start with the easier ones, and over the first month of treatment you can reach whatever exercises you like. 
• Q5: How long into the recovery could/should I resume intense lifting or skateboarding?
  • Well, I normally recommend minimum 2 weeks of no "high-risk" activities. The goal is to give your testicles a little time to recover, and to also re-approach "high-risk" activities with a strategies (like the ones I messaged you earlier).
• Q6: What kind of progress is possible?
  • I've had some clients report complete reduction of varicocele--but usually about 40-60% reduction in swelling, many note improvement of testicular size, almost all complete cure of pain, restoration of fertility in most, and similar results testosterone--because it's linked to the other symptoms--should return to normal.

I hope that helps (Name)!