5 Best Homeopathic Medicines for Varicocele

Varicocele refers to an abnormal enlargement of veins (pampiniform plexus) in the scrotum (a sac that holds the testicles). Varicocele may lead to discomfort but mostly it causes no symptoms. It is a very common problem and around 10 to 15 out of 100 males are found to suffer from this problem. Though not a life threatening problem, it can lead to low sperm count and male infertility. 

Homeopathic Treatment Of Varicocele

Homeopathy is very effective in mild to moderate cases of Varicocele and prevents surgery in most cases. The medicines act at the root of problem to bring excellent results. They stimulate the self-healing mechanism of the body to aid natural cure. As the healing system of the body is strengthened, the disease is completely eradicated. The homeopathic medicines improve blood flow in veins and provide relief in pain and swelling of scrotum.

Homeopathic medicines for Varicocele

The most widely recommended homeopathic medicines for Varicocele are Hamamelis, Calcarea Fluor, Pulsatilla and Arnica.

1. Hamamelis

One of the top grade medicines for Varicocele is Hamamelis.  This medicine works effectively to improve blood circulation in veins and reduce blood pooling. The person needing it experiences pain and swelling in scrotum. Varicocele with enlarged testicles or testicles that are hot and painful when touched is treated well with Hamamelis. Drawing pain in scrotum is marked. Hamamelis is also one of the most well-indicated medicines for Varicocele with severe inflammation of testicles (orchitis) and markedly palpable veins.

2. Calcarea Fluor

This is another highly recommended natural medicine in homeopathy to manage several complaints where blood circulation is not proper in veins and there is congestion of blood in veins. This medicine ensure good blood flow in veins and improves swelling and pain in scrotum.

3. Pulsatilla

Pulsatilla is one of the most outstanding medicines for Varicocele in cases where pain occurs in scrotum. Pain can be aching, tearing or lacerating in nature. Walking increases the problem. The person complains of soreness in the testes. Burning sensation may also occur in scrotum.

4. Arnica

In case of a swollen scrotum especially after injury, Arnica is considered one of the outstanding medicines for Varicocele. Pain and soreness, tenderness in scrotum are usually indicated in cases where Arnica will work best. Pain may extend from scrotum to abdomen. Pain is usually shooting type.

5. Nux Vomica

Nux Vomica is one of the leading medicines for Varicocele with drawing, constricting or sharp pain in the testicles. Pain gets worse while walking or standing, while relief occurs by sitting. There is heat in the scrotum and sensitivity to touch.

6. Ruta

Ruta is another homeopathic remedy of great benefit in Varicocele cases.  If Varicocele arise from over-straining of veins in scrotum like from weight lifting, some sort of exercises, then Ruta is the ace medicine.

7. Aesculus

This is another homeopathic medicine whose function is to ensure proper blood flow in veins. Its use is recommended when there is shooting pain in right testicle. Its use is also advised for drawing pain in testicle on either side.

Homeopathic medicines for low sperm count

To deal with low sperm count which can occur in people suffering from Varicocele, the two most important homeopathic medicines are Radium Bromatum and X-ray. It is advised to consult a physician to take these medicines who will properly guide you regarding potency and repetition of medicines.

What Are The Signs And Symptoms Of Varicocele?

Varicocele may not lead to any symptoms in many cases. However, some signs and symptoms may indicate Varicocele:

1. A lump in scrotum/swelling in the scrotum: In most cases of Varicocele, a lump or swelling is present in the scrotum. In case of small Varicocele, lump may be felt but may not be seen. In large Varicocele, the enlarged and twisted veins in scrotum are visible looking like a bag of worms.

2. Side: Varicocele mostly is one-sided. Either side can be involved, however, chances of left-sided Varicocele remain higher. Varicocle is 80-90 per cent times common in left testicle. In rare cases, both sides can be involved.

3. Pain: Varicocele is usually painless but in a few cases, might also cause pain. The pain in the scrotum is usually dull, throbbing-like but rarely sharp in nature. Increased temperature in testicles, increased pressure in scrotal veins and stretching of nerve fibers in the spermatic cord from dilated veins may be a contributing factor in causing pain. The pain may worsen as the day progresses, while standing or after physical exertion. Pain may get better by lying on the back. The testicles may feel heavy as well.

4. Size: The affected testicle may look smaller than the other.

5. Growth of left testicle at low pace during puberty.

6. Varicocele may lead to decreased sperm production, reduced sperm motility and quality of sperm might reduce too. Shape of the sperms may become abnormal. Infertility may also arise in some cases. Lastly it can cause atrophy/shrinkage of size of the testicles.

What are the causes behind Varicocele?

1. There are two testicular arteries that supply oxygenated blood to testicles and two testicular veins which carry deoxygenated blood from testicles to heart. There is a network of small veins called pampiniform plexus in the scrotum (which holds the testes) that carries deoxygenated blood from testicle to testicular vein. The reason behind Varicocele is not clear yet. However, it is thought to arise from pooling of the blood in the veins of pampiniform plexus. This happens when the valves inside the veins of spermatic cord, that allows one-way blood flow, do not work the right way as they should. It prevents blood from flowing properly in needed direction resulting in the back (reverse) flow of blood causing the veins with in scrotum to widen and enlarge resulting in Varicocele.

Spermatic cord is a tube that hangs testes in scrotum and contains testicular artery, lymphatic vessels, pampiniform plexus, nerves and vas deferens which carry sperms from testes to penis).

2. Deep vein thrombosis (a blood clot in one of the deep veins of body usually in legs), thrombosis (blood clot within blood vessel) of pampiniform plexus are some of the rare causes of Varicocele.

3. It usually affects males between 15-25 age group.

4. Tobacco smoking may increase risk of Varicocele.

Classification

Based on size and clinical examination these are classified as follows:

1. Large varicoceles: These can be easily detected by simple inspection (looking over) and appear like bag of worms.

2. Medium varicoceles: These are the ones that are detected by palpation with fingers even without any bearing down by patient.

3. Small varicoceles: These varicoceles can only be detected during strong bearing down (valsalva).

Another classification is as follows:

1. Pressure type Varicocele: In this spermatic vein fills with blood resulting in grade I Varicocele.

2. Shunt type Varicocele: In this intense build-up of blood damages spermatic vein and also other veins causing larger varicocele including grade II and III.

Grading system of size of Varicocele

Grade 0 – When varicocele is not detected physically and can only be seen on conducting an ultrasound of scrotum

Grade I – When varicocele is felt only on palpation (checking with fingers) during valsalva maneuver when standing

Grade II – when varicocele is palpable when standing even without valsalva maneuver but not visible

Grade III – When it cause visible scrotal deformity i.e. varicocele is visible through scrotal skin

Grading as per colour Doppler, given by Sarteschi, is as follows:

Grade I – In this reflux occur at groin level during valsalva. There is no testicular enlargement.  Deformity of scrotum is absent.

Grade II – Reflux occurs at the level of proximal part of pampiniform plexus only during valsalva. There is no testicular enlargement or deformity of scrotum.

Grade III – In this grade, reflux occurs in distal vessels at level of lower scrotum during valsalva. There is absence of testicular enlargement or scrotal deformity.

Grade IV – There occurs spontaneous reverse blood flow increasing during valsalva and in addition to this, scrotal deformity and testicular hypertrophy (enlargement) may also be there.

Grade V – There occurs reflux in dilated pampiniform plexus at rest that increases during valsalva and is always attended with testicular enlargement.

Complications

1. Impaired sperm production: A certain body temperature is required in testes for normal good quality sperm production, maturation and function. The heat in scrotum is approx. 5degree less than that of the belly. The pampiniform plexus works to cool down blood in testicular artery prior its entry to testicle. If there occur enlargement of veins in pampiniform plexus its normal functionality drops resulting in overheating in testes that affects normal production of sperms. When microscopic semen examination is done in case of Varicocele, stress pattern is seen. The sperm count becomes low, the sperms show poor motility and there is increase in number of abnormal sperms.

2. 4 out of 10 males having Varicocele face infertility.

3. Low testosterone production by Leydig cells in testes

4. In boys, varicocele may slow testicle growth during puberty

5. Atrophy of testes

What other conditions needs to be ruled out when making diagnosis of varicocele (differential diagnosis)?

1. Hydrocele: Swollen scrotum from collection of excessive fluid in the sheath (tunica vaginalis) surrounding a testicle.

2. Epididymitis: Inflamed epididymis (a coiled tube at the back of testicle that stores sperms while they mature and carries sperms from the testes to the vas deferens).

3. Spermatocele: cyst developing inside the scrotum

4. Trauma

5. Testicular and paratesticular tumour

6. Testicular torsion: An emergency condition in which spermatic cord that carries blood to testes rotates and twists

7. Inguinal hernia: Bulging of the contents of the abdomen through a weak spot in lower abdominal wall

Diagnosis and Investigations

1. Physical examination: A physician can make a clinical diagnosis by visually checking scrotum and by palpation (checking with fingers and hands of scrotum). In many cases, Varicocele cannot be seen or felt in lying down position. So the doctor may also examine scrotum in standing position.

He may ask you to stand up, take a deep breath in standing position and to hold the breath and bear down to do the scrotal examination and check for any enlarged veins in it. It is called as Valsalva maneuver.

2. Scrotal Doppler ultrasound: Doctor may recommend doppler ultrasound of scrotum to confirm diagnosis and rule out any other cause of the symptoms.

Veins of pampiniform plexus wider than 3mm with blood flow in the wrong direction during valsalva maneuver is indicative of Varicocele. If it is Varicocele, grading will also be done with its help. Ultrasound also checks the size of testicles.

3. In case of Varicocele on the right side, it is important to rule out any mass or tumour in abdomen that may be the cause. There is a possibility of renal cell carcinoma in case of isolated right-sided Varicocele. It could be occurring from vena cava obstruction from right renal cancer vein tumour thrombus. If suspected CT scan is recommended.

Frequently Asked Questions

Does homeopathy provide permanent cure for Varicocele?

Homeopathy provide an effective treatment for Varicocele cases and also promises great cure. Though homeopathy can cure Varicocele but results vary based on multiple factors like the grade of Varicocele, duration of complaint, intensity of symptoms, presence of any complications and an individual’s response to homeopathic medicine.  There are chances of cure in low grade Varicocele cases while in high grades, only symptomatic help can be given with homeopathic medicines.

Can homeopathy help in relieving all grades of Varicocele?

Homeopathy is beneficial in treating all grades of Varicocele. Grade one and two show excellent results and can even be cured. In rest of the grades from III to V, homeopathic medicines have a limitation to cure it but symptomatic management is possible.

I have grade II Varicocele on left side, can homeopathy help?

Yes, homeopathic medicines can really be helpful in treating grade II Varicocele. It will help reduce swelling and any associated symptoms.

I have grade II Varicocele and low sperm count, can homeopathy treat it?

Yes, in homeopathy there are some very effective medicines to treat grade II Varicocele as well as low sperm count. Homeopathy can help to treat both these conditions though results vary from individual to individual.

My doctor suggested surgery for Varicocele which I want to avoid, can I be benefitted with homeopathic medicines?

If you are looking for an alternative treatment method for your Varicocele complaint, you can definitely try homeopathy for your case. Homeopathic medicines are very natural, safe without any side effects in such cases. A detailed case discussion is required to assess grade of Varicocele and associated signs and symptoms along with its intensity before any prescription. Depending on the grade of Varicocele, you may get relief in signs and symptoms, but if we talk of cure then it is possible only in early grades.

Which is the best homeopathic medicine for treating Varicocele?

Though there are numerous medicines in homeopathy for Varicocele treatment, among these Hamamelis, Calcarea Fluor and Pulsatilla lead the chart.

Which homeopathic medicine can be used for relieving pain?

Some commonly used homeopathic medicines for managing pain from Varicocele in general are Clematis, Hamamelis, Nux Vomica, Arnica, etc. but in depth case study is required to finalise best suitable homeopathic medicine in every individual case.

I have infertility issue along with Varicocele, which homeopathic medicine can I take?

There is no specific medicine in homeopathy that can help in all cases of infertility. The best medicine for every given case of infertility has to be ruled after detailed case analysis.

Can you suggest medicines for my erectile dysfunction complaint associated with Varicocele?

For erectile dysfunction treatment, there are number of homeopathic medicines. Some most commonly recommended medicines among these are Agnus Castus, Caladium, Lycopodium, Damiana as per symptom basis. Kindly consult a physician for right potency, dose and repetition for using any of these medicines

I have testicular atrophy from Varicocele, can homeopathy help to treat it?

Homeopathic medicines though cannot reverse the atrophy of testes that has already occurred, but these can be tried to prevent further worsening of the problem.

I have undergone three surgeries for my recurrent varicocele, but still have swelling and pain, can homeopathy be useful?

Yes, homeopathy has proven successful in treating recurrent varicocele as homeopathic medicines target the root cause behind it and improve blood flow in veins.

I have swelling and lump in my scrotum, am I suffering from Varicocele?

Though having a swelling and lump in scrotum might be indicative of Varicocele, as it is one of the reasons behind it, but just on this basis, it cannot be confirmed as Varicocele. Other possible reasons could be hydrocele, spermatocele, epididymitis, tumour, so a proper case study and investigations (mainly ultrasound of scrotum) is required to reach a proper diagnosis.

Why is Varicocele more common on left side?

The reason could be the different path followed by both internal spermatic veins. The right internal spermatic vein terminates directly in inferior vena cava having low pressure while the left-sided internal spermatic vein connects with left renal vein with comparatively high pressure. Additionally, the particular angle at the junction of the left internal spermatic vein and left renal vein contribute to high chances of left-sided Varicocele.

Do I need to undergo any investigation to diagnose Varicocele?

Yes, for confirmatory diagnosis of varicocele, a doppler ultrasound of scrotum is required.

Does Varicocele go away on its own without treatment?

Once Varicocele occurs, it does not go away onits own. It is always advised to seek medical treatment in such cases.

Is Varicocele dangerous?

Though it is not dangerous or life threatening, it can result in certain complications like low sperm count and infertility.

I have been diagnosed with Varicocele grade II, I have no related pain, Do I need to get it treated?

I would advise you to take proper treatment for this even if it is painless to halt further progression of its grade and avoid any complications related to Varicocele, like low sperm count, infertility, low testosterone levels, erectile dysfunction.

Can my erectile dysfunction be related to my varicocele issue?

Yes it could be. There is a link between Varicocele and erectile dysfunction. Varicocele can lead to low production of testosterone which is the main primary male hormone. Low testosterone levels may contribute to erection issues.

Does Varicocele lead to low sperm count?

Yes, Varicocele can lead to low sperm count but it does not occur in each and every case of Varicocele.

I have been suffering from Varicocele for the last six months, will it cause infertility?

Varicocele no doubt can lead to infertility, but having Varicocele does not always mean that infertility will occur. Approximately around 10%to 20% men suffering from Varicocele face infertility and it is difficult to predict, who among all having Varicocele will face this problem. Low sperm count, reduced quality of sperms and abnormal sperms related to Varicocele are the main reasons behind infertility.

Can Varicocele by cured by exercise?

Exercise can not cure Varicocele, rather it can worsen the pain and swelling of scrotum. Yoga (under initial supervision of an expert) may be helpful in improving blood circulation and may improve symptoms.

Does gymming worsen Varicocele?

Yes, gymming can make Varicocele worse as it tends to put excessive strain on blood vessels and can cause more harm to the veins. It also causes significant increase in pain.

Can I lift heavy weights if I am suffering from Varicocele?

No you should avoid lifting heavy weights if suffering from Varicocele because it increases pressure on the veins and makes the condition worse.

Does Varicocele recur after surgery?

Yes, Varicocele can recur after surgery. In around 45 per cent of the surgically treated cases, Varicocele tends to recur depending on the surgical method adopted.