best plants against varicocele

What is a varicocele?

The varicocele is characterized by the expansion of a vein (varix) at the spermatic cord, fibrous cord located in the purses above each testicle, and connecting each of the scrotum.

Varicocele usually affects only one side, mostly the left because of the anatomy of the venous network of the male genitals. On the left side, blood from the testis is drained to the renal vein, while on the right it is drained to the vena cava, where the pressure is lower than in the renal vein.

Patients with varicocele are usually asymptomatic, so often varicoceles are diagnosed when a patient has problems with infertility. The diagnosis of varicocele is made based on a physical examination in the form of inspection and palpation of the scrotum. The results of questionable physical examinations can be confirmed by investigations such as Doppler ultrasound.

If you suffer from varicocele, and you want to heal in a natural way, here is the solution offered by our experts.

Natural herbal remedy

First, varicocele is not inevitable, the only way out is an operation. The use of natural plants makes it possible to cure varicocele permanently by avoiding surgical operation.  The natural remedy for curing varicocele that we offer is completely herbal. It contains 2 elements namely: a herbal tea and an ointment. Trust us! Because it is the secret to cure varicocele without operation thanks to the plants.

Herbal tea to cure testicular varicose veins is vasculoprotective and venotonic. It is a natural remedy that cures varicocele successfully by strengthening the valves or valves located in the veins of the spermatic cords. So the veins become tonic and tenacious to facilitate the dynamic rise of blood along the veins. This to join the most important veins like the left renal vein and the inferior vena cava. So, it has proven its effectiveness with dozens of resolved cases. Associated with a suitable diet, it can treat varicocele quite easily. So, this is the best natural remedy to cure varicocele and avoid the operation. To discover our natural treatment for varicocele, click on the image below.

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In history taking, people with a varicocele do not complain of any symptoms because most varicoceles are asymptomatic. In some cases, patients complain of an enlarged scrotum, especially in the upper part of the testicles and on the left side. The lumps in the scrotum are shaped like worm lumps, so many people refer to varicocele as a  bag of worms. This screw-bag image sometimes only appears when the patient is tired, coughing, or holding his breath. Although rare, patients sometimes also complain of pain or heaviness in the scrotum.

Physical examination

The mainstay in diagnosing varicocele is the physical examination, in the form of a physical examination of the scrotum. The exam should be done in warm temperatures to prevent the scrotal skin from wrinkling, which will make it difficult to identify varicoceles.

The examination should be performed in two positions, standing and lying down. In both positions, it is necessary to check with or without the Valsalva maneuver. The supine position is performed to assess the decompression of the dilated vein. If there is no reduction in venous dilation when lying down, the cause of tumor compression or anatomical malformation should be considered.

Perform a scrotal physical examination, including the size and consistency of the testes, and the presence or absence of dilation of the pampiniform plexus. The testicular size is measured using an orchidometer. Based on the examination results obtained from the physical examination, the degree of varicocele can be divided into 3 according to Dubin and Amelar:

• Degree 1 = palpable only when the patient stands up and maneuvers Valsalva
• Degree 2 = palpated when the patient is standing, without a Valsalva maneuver
• Degree 3 = visible through the scrotal skin and palpable when the patient stands up

Differential diagnosis

Varicocele disease should be distinguished from several differential diagnoses whose clinical picture resembles the disease.

Testicular tumor

In the case of testicular tumors, there are one-sided bumps in the testicles that are not painful and a picture of gynecomastia is found. Upon investigation, there is an increase in alpha-fetoprotein (AFP), β-hCG, or LDH, depending on the type of cell that is in the testicular tumor.

Hydrocele

A hydrocele is a condition of fluid accumulation between the visceral and parietal layers of the tunica vagina around the testis that occurs due to the presence of pathological holes, the vaginalis process patent. On physical examination, the hydrocele has positive or fluorescent translumination when it receives light. 

Epididymal cyst

Other epididymal cysts, which are characterized by smooth bumps in the head area of ​​the epididymis, can also cause varicocele-like symptoms. In some cases, epididymal cysts can also cause pain in the scrotum or enlarge.

Complimentary exam

Investigations may be done to detect and examine varicoceles further. Support examinations that can be performed, in the form of imaging tests, among which the most commonly used is Doppler ultrasound. Investigations for varicoceles are not routinely performed and are only recommended if the results of the physical examination are questionable.

Doppler ultrasound

Doppler ultrasound is the most widely used examination modality and is the standard for examination in cases of varicocele . The ultrasound which is good to use is at high resolution using  a 7-10  MHz probe . This test can be used to determine venous dilation and to see if there is an enlarged vein diameter during the Valsalva maneuver. This examination is performed when the patient is lying down.

The exact definition of varicocele from ultrasound is controversial, but the commonly used definition is veins with a diameter of 3mm or more when lying down. There are also other definitions in the form of finding 3 or more veins with at least 1 vein having a diameter of 3mm or more when lying down, or there is widening of the venous diameter during the Valsalva maneuver.

In addition to helping with the diagnosis, Doppler ultrasound can be used to assess the severity of varicoceles based on the degree of venous reflux during Valsalva. This can be assessed by color signals that indicate blood flow and the direction of blood vessels in the varicocele.

Venography

Venographic examination is performed by percutaneous access from the right jugular or internal femoral vein, followed by insertion of the catheter into the spermatic vein and retrograde contrast  . This exam is an exam with the highest level of sensitivity to assess valve incompetence in the veins.

Thermography and scintigraphy

The thermographic examination detects changes in temperature in the scrotum of the varicocele. The detection of varicocele is based on hyperthermia defined as a temperature ≥34 degrees Celsius or a temperature difference of derajat5 degrees Celsius between the right and left pampiniform plexus.

Scintigraphy examination using a  tracer  can not only detect reflux from the spermatic vein, but is also useful in assessing the severity of varicocele.

CT scan

Computed tomography is performed to rule out the possibility of renal and retroperitoneal tumors in cases of varicoceles on the right side or acute unilateral varicoceles in elderly patients. However, the use of CT scans in cases of varicocele is considered impossible due to radiation exposure.

MRI

Although rarely used in cases of varicoceles, the use of MRI can be done to determine and identify the causes of varicoceles. These investigations will depend not on the operator and have a detailed picture retroperitoneal. In addition, MRI can be used to detect the sequelae of varicoceles, prognosis and detect the presence of fibrosis in the testicular parenchyma. 

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