Fertility
Varicocele: symptoms, fertility effects and natural support
A varicocele is a swelling of the veins in the scrotum, similar to varicose veins in the legs. It is common, often harmless, but sometimes linked with pain and fertility problems. Here is what to know about varicocele natural treatment and when medical care is needed.
In short: A varicocele affects about 15 percent of men, usually on the left side. It can feel like a “bag of worms” above the testicle and may cause a dull ache that worsens with standing. Varicoceles can raise scrotal temperature and are a common cause of reduced sperm quality. Supportive underwear and lifestyle steps help comfort, but treatment may be needed for pain or infertility.
What is a varicocele?
Veins in the scrotum (the pampiniform plexus) carry blood away from the testicles. If valves in these veins do not work well, blood pools and the veins enlarge.
Symptoms
- A soft lump above the testicle that feels like a bag of worms
- A dull ache or heaviness, worse after standing or exercise and better lying down
- A smaller testicle on the affected side
- Many men have no symptoms
Effects on fertility and testosterone
Varicoceles can raise the temperature around the testicles and expose them to oxidative stress, which may reduce sperm count, movement and shape. They are found in a large share of men with fertility problems. Some studies link varicoceles with lower testosterone. See signs of male infertility.
When to get checked
See an appropriately registered medical professional if:
- You notice a new lump or swelling in the scrotum
- A varicocele appears suddenly, especially on the right side, or does not shrink when lying down
- You have ongoing pain
- You and your partner are having trouble conceiving
Medical treatment (surgery or embolisation) may be recommended for pain, testicle shrinkage or infertility.
Natural support for comfort and sperm health
- Supportive underwear or an athletic supporter reduces aching.
- Avoid long periods of standing and take breaks to lie down.
- Keep the testicles cool: avoid hot baths, saunas and laptops on your lap.
- Antioxidant-rich diet: fruit, vegetables, nuts and seeds. See walnuts benefits for men.
- Avoid constipation and straining, which raise abdominal pressure.
- Do not smoke, as smoking further harms sperm.
Some small studies suggest antioxidant supplements may help sperm quality in men with varicocele, but evidence is limited.
How we can help
Our naturopaths can support sperm health and comfort with natural remedies and lifestyle guidance, alongside medical assessment. Read also how to increase sperm motility and testicular pain causes.
Why men choose our natural approach
Walk in or consult remotely
Walk in at Buccleuch, Sandton, with parking available, or consult by phone or video from anywhere in South Africa.
Natural and non-surgical
Herbal remedies and practical guidance, with no injections or surgery.
Faster appointments
Enquiries answered 24/7, with same-day appointments often available.
Transparent pricing
Consultations are R2,500, with any remedy costs confirmed before you commit.
Private self-check: 5 quick questions
Answer these honestly before you try anything new or book. They help you describe what is happening and get more from your first consultation.
- Have you noticed a change in the amount, colour or consistency of your semen?
- Do you feel pain or burning during or after ejaculation?
- Have you had trouble ejaculating, or does it take much longer than before?
- Do you smoke, drink most days, or sit for long hours?
- Are you and your partner trying for a baby?
Pain, burning, blood in the semen or a sudden change should be checked by an appropriately registered medical professional first. For lifestyle-related changes, a naturopath can help you build a natural plan to support healthy function.
What happens at your first consultation
- Walk in or book online, call +27 10 205 9855 or WhatsApp +27 81 823 1313. In Gauteng, walk in at 199 Vanessa Street, Buccleuch, Sandton, where parking is available. Outside Gauteng, choose a confidential phone or video consultation. Enquiries are answered 24/7.
- Talk privately with a naturopath about your symptoms, health history, lifestyle and goals.
- Receive a personalised natural plan, with any remedy costs confirmed upfront.
- Follow up in person or remotely so your progress is reviewed and your plan adjusted.
Your health and safety
Our naturopaths use natural remedies and lifestyle support, and always check your health history and current medicines first. If anything needs medical attention we tell you honestly and refer you to an appropriately registered medical professional. Avoid unregistered “enhancement” products sold online or at markets, as SAHPRA has warned that some contain hidden ingredients.
Seek urgent medical care for chest pain, an erection lasting more than four hours, sudden weakness or other sudden symptoms.
Consultation price
A consultation is R2,500, in person or remote, and your naturopath confirms any further costs before you go ahead. See our men’s clinic prices for details.
Frequently asked questions
Can a varicocele go away naturally?
Varicoceles do not usually disappear on their own, but many cause no problems. Lifestyle steps can ease discomfort.
Does a varicocele affect fertility?
It can reduce sperm quality and is common in men with fertility problems.
What does a varicocele feel like?
Often like a soft bag of worms above the testicle, with a dull ache that worsens when standing.
When should a varicocele be treated?
Treatment may be recommended for ongoing pain, testicle shrinkage or infertility.
How much does a consultation cost?
A consultation is R2,500, and any remedy costs are confirmed with you before you go ahead.
Book your consultation today
Get personalised, natural support from a naturopath. Walk in at our Sandton practice, or book a remote consultation if you live outside Gauteng.
References and further reading
Reviewed by George Mulaudzi, Naturopath. This page is general information and does not replace a personal consultation. If you have chest pain, sudden symptoms or a medical emergency, seek urgent medical care.
