QUESTION: Dear Dr. Dehal,
I have a very large varicocele in my left testicle (I have had it since adolescence, now I am 38), which is my only remaining testicle as my right testicle had to be surgically removed several years ago. I have been reading about varicoceles, about their possible effect on fertility and the potential for testicular atrophy associated with them. I had my testosterone checked a few months ago, and it was slightly higher than average for my age (I think it was 707, if I remember correctly). Normally I do not experience any pain or discomfort from it, but the past few days there has been a dull, soft, very light pain in that testicle. I have not been paying attention to the testicle and its size over the years, but when I palpated it yesterday, it seemed rather small to me. (I would need to confirm with a urologist whether it is abnormally small or not)
I have read about the various options. My current thinking is either:
1) Do nothing
2) Do an embolization procedure (possibly in India)
3) Do an Ayurvedic treatment - I had read about a clinic somewhere in India that has had success with herbs and applying some kind of jam to the testes. I have a very large varicocele, so I am not sure whether this would be indicated.
The embolization procedure is usually said to be more-or-less risk-free. I have read many stories on the internet to the contrary. But it is usually the people who have negative experiences that write their stories on the internet, and not the people for whom all went well as expected.
It is my only remaining testicle. I do not want to take any risks, nor do I want it to atrophy, either.
Fertility in itself is not an important criterion for me. But the male health and vitality that is associated with fertility and a healthfully-functioning testicle is important to me.
Can you offer me advice? I would be very grateful.
ANSWER: At this age the first question is -Are you married ? If yes how many issues/kid ?
If not married then why not. Is it related to your this issue ?
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QUESTION: Dear Dr. Dehal,
it is not related at all to the question of marriage and having children (I am unmarried and without children since I have chosen to be so for the moment). It is related to my health, and the effect that a well-functioning testicle has on my health, as I understand.
I am very sorry for the delay in reply. To be true I can not comment on any procedure for this. But of course in Ayurveda we do prepare fresh lepa/paste for external application along with oral herbal medicines for reducing the size of testicles. You should go for this.