The Complete Guide To Natural Healing Of Varicocele: Varicocele Natural Treatment Without Surgery Mo BEST
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Ideally, a reproductive evaluation will lead to maximizing the reproductive health of an individual and future offspring.2 Indeed, the evaluation and treatment of male infertility can improve fertility outcomes allowing some couples to conceive naturally and lower treatment costs. Furthermore, a male evaluation may inform some couples to avoid ART. For example, investigators suggested that varicocele treatment may be more cost effective than ART or can lower the intensity of treatment.29-31 This may allow couples to conceive by less invasive technologies, such as pregnancy by IUI instead of IVF or pregnancy by intercourse instead of IUI. In addition, other groups have suggested that vasectomy reversal may represent a more cost-effective option compared to IVF in couples with adequate ovarian function.30,32,33 While over eight million children have been conceived by IVF, concern remains about risks to the reproductive and overall health of offspring due to gamete manipulation, embryo culture, cryopreservation, and other manipulation that does not occur with natural conception.34-36 Whether the adverse outcomes observed in offspring relate to the use of the technology itself or the underlying conditions causing infertility in one or both parents remains uncertain. Nevertheless, it is clear that a reasoned approach to the evaluation and treatment of male infertility is warranted.
The largest most recent meta-analysis by Wang et al. observed higher estimated pregnancy rates for men treated with any approach for repair of clinical varicocele compared to no treatment.156 Pregnancy rates without treatment were assumed to be 17%, while rates were calculated to be 42% (95% CI 26% to 61%) with subinguinal microsurgical varicocelectomy, 35% (95% CI 21% to 54%) with inguinal microvaricocelectomy, 37% (95% CI 22% to 58%) with inguinal open (non-microsurgical) surgery, and 37% (95% CI 19% to 61%) with laparoscopic surgery.156 Such findings must be interpreted with caution given that this meta-analysis included studies with non-randomized designs and selective outcome reporting. OR were lower for sclerotherapy, subinguinal open surgery, retroperitoneal open surgery, percutaneous venous embolization, and retrograde sclerotherapy. Bulk seminal parameters including sperm concentration and sperm motility were also observed to be improved with surgery.
IUI is a fertility treatment that involves processing a semen specimen and placing the low volume washed semen into the uterine cavity at the time of ovulation. The intervention may be done with or without ovarian stimulation of the female partner to enhance oocyte production. In general, SA parameters are not predictive of natural pregnancy or pregnancy by use of ARTs, including IUI, unless severe abnormalities exist. However, converging evidence suggests significant associations between pregnancy by IUI and total motile sperm count. As such, men with low total motile sperm count (
Another indication for SDF testing is in patients who are diagnosed with clinical varicocele (grade C recommendation). The findings of higher SDF in both fertile and infertile men with varicocele than controls [168] and significant decrease in SDF levels after varicocele repair [261] provide the rationale of SDF testing in refining the selection of varicocelectomy candidates. In addition, reduction in SDF seems to translate into better reproductive outcomes [262,263,264]. Although the association between SDF and high-grade varicocele is much stronger, patients with low-grade varicocele had achieved improvement in natural pregnancy rate that were similar to those with high-grade varicocele after surgery [265].
Another controversial topic in urology is the effects of varicocele treatment on male infertility[11]. Several studies indicated that varicocele repair improves semen parameters, including sperm density, count, concentration, motility and morphology and the percentage of progressively motile sperm in most treated men with clinical νaricocele and abnormal semen parameters[4,5,9]. In addition to the improvement in semen parameters, varicocele repair may allow a couple with severely impaired semen parameters to have less invasive treatment. Men with severe oligospermia who would otherwise require in vitro fertilization/intra cytoplasmic sperm injection (IVF-ICSI) to conceive may have adequate improvement in semen analysis to allow intrauterine insemination instead of IVF-ICSI, and those with oligospermia may have sufficient improvement in semen parameters to allow natural conception in some cases. Surgical varicocele repair also proved useful in alleviating OS-associated infertility and improving sperm nuclear DΝΑ integrity. Temporal changes in the testicular histology after varicocelectomy, including maturation of the germ cells, with the absence of meiotic abnormalities and normalization of the number of Leydig cells, have been reported[8].
Varicoceles usually don't require treatment. But for men with varicoceles and impaired fertility, microsurgery to tie off the dilated veins of the varicocele is effective. Varicoceles can also be corrected without surgery by injecting a tiny coil into the abnormal veins.
Adhesions are internal scars that form wherever the body heals from tissue damage due to surgery, infection, inflammation, injury, radiation or endometriosis. While adhesions are the first step in the healing process, they sometimes continue to grow in the body. They can create powerful glue-like bonds that can squeeze structures like straitjackets, decreasing their function or causing pain. Adhesions can attach organs, muscles, and other structures that are designed to be separate, decreasing their natural movement and function. 2b1af7f3a8