HELLO SAHIL,
You had varicocele, which is a condition where the veins around the testicles become enlarged and create heat and poor blood flow, This extra heat and congestion can damage the testicles over time, reducing their size and weakening sperm and hormone production- testosterone. You treated the varicocele, but its after effects- like shrunken testicles, low semen quality, body weakness, low energy, and loss of muscle- are still present
DIAGNOSIS IN AYURVEDA -shukra dhatu kshyaa= weakening of reproductive tissue - Dhatu kshaya especially mamsa and meda= loss of muscle and fat due to low nourishment - Ojas depletion= Ojas is the vital essence that gives strength, immunity, stamina, fertility, and mental clarity -vata aggravation- causes tissue dryness, shrinkage, and weakness
WHAT CAUSES THIS -heat and poor circulation ( from varicocele) increase pitta and rakta dushti -vitiated blood -tissue damage from chronic poor nourishment leads to vata vitiation, causing shrinkage and weakness. -improper diet, stress, and sexual habits may worsen the Ojas depletion
TREATMENT GOALS -restore testicle health= strengthen shukra dhatu - improve semen and sperm= build healthy shukra and rasa dhatu - improves muscle and weight= restore Ojas -balance hormones= calms vata and pitta, support digestion / metabolism
INTERNALLY
1) ASHWAGANDHA CHURNA= 1 tsp with warm milk in morning and night =builds muscle, testosterone , stamina
2) SHILAJIT CAPSULE= 500mg 1 cap twice daily in morning and night = natural testosterone booster, energizer
3) KAUNCH BEEJ= 5 gm powder with milk at night =improves sperm count and semen
4) SAFED MUSELI CHURNA= 3 gm with ghee in morning =aphrodisiac support strength
5) GOKSHUR CAPSULES= 1 cap twice daily after meals =improves urinary reproductive health
6) VRIHAT VATCHINTAMANI RAS= 1 tab in morning with warm milk = best in your case
EXTERNAL TREATMENT
1)WARM OIL MASSAGE-FOCUSED PELVIC MASSAGE- WITH SHATAVARI TAILA OR ASHWAGANDHABALA TAILA AREA- LOWER BACK,ABDOMEN,INNER THIGHS, AND GROIN AREA TIME- DAILY OR 3-4TIMES/WEEK DURATION- 15-20 MIN -ALWAYS WARM THE OIL BEFORE USE -USE GENTLE CIRCULAR STROKES OVER LOWER ABDOMEN AND GROIN -FINISH WITH A WARM TOWEL WIPE OR LUKEWARM SHOWER
2)LOCALISED HERBAL STEAM THERAPY -APPLIED AFTER OIL MASSAGE -HELPS IN VASODILATION-OPENS BLOOD VESSELS AND ENHANCES ERECTION -VERY USEFUL. IN NERVE RELATED ED OR WEAK SENSITIVITY -TAKE A BIG VESEEL OF HOT WATER WITH HERBS LIKE DASHMOOL,TRIPHALA,VACHA -COVER THE LOWER BODY WITH A CLOTH, LET THE HERBAL STEAM PASS ON THIGHS, LOWER ABDOMEN,BUTTOCKS DURATION= 10-12 MIN
DIET
MILK PRODUCTS= cow milk, ghee, panner, curd
PROTEINS= moong dal, urad dal, soaked almonds, black sesame
GRAINS= wheat, rice, millets-nachni/ragi for strength
FRUITS= banana, figs, dates, mangoes, pomegrante
HEALTHY FATS= ghee, sesame oil, coconut oil
OJAS BUILDERS= ghee+ honey(not mixed directly), dates, soaked almonds
SPICes= ginge, cardamom, cinnamon, cumin
prefer fresh, warm, cooked meals with good oil/ghee. AVOID SKIPPING MEALS
AVOID STRICTLY
-cold , raw foods= weakens agni - spicy, fried items= increases pitta and harms shukra dhatu - excess salt, sour, pickles= dries up shukra - tea/coffee in excess= drains Ojas - processed foods= no nourishment -alcohol/smoking= directly damage shukra dhatu
YOGA AND PRANAYAM
-vajrasana= improves digestion -bhujangasana= stimulates testicles -dhanurasana= improves sperm quality - sarvangasana= boosts hormonal balance - matsyasana= stimulates thyroid and gonads - paschimottanasana= calms vata and improves vitality
Always end with shavasana
PRANAYAM -Anulom Vilom= balances hormones - Bhramari= calms nervous system - kapalbhati= activates metabolism , not to be overdone
HEALTHY HABITS -sleep early by 10 pm= quality sleep boosts testosterone - wake up before sunrise, fresh air= increased Ojas - brahmacharya= avoid excessive or casual sex/masturabtion -sun exposure= morning sun(vitamin D helps testosterone) -physical acitivity= regular, but don’t overtrain
AVOID -overthinking, stress, late night - sitting long hours with tight underwear - porn/sexual over stimulation -extreme fasting or dieting
You are young 27 year and ayurveda works gradually but deeply to rebuild your reproductive strength , semen quality, and overall vitality. with regular use of above protocol, most of your symptoms will improve within 3-6 months and you’ll feel stronger, more balanced and confident agian.
DO FOLLOW CONISTENTLY FOR
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR.MAITRI ACHARYA
HELLO SAHIL,
YOUR SYMPTOMS -reduced testicle size (possibly tesicular atrophy) - suspected low testosterone(loss of muscle mass, weakness) -past varicocele(now cured with Palash flower) -poor semen quality(improving) - general body weakness and thinness
According to Ayurveda, the reproductive system is governed by Shukra dhatu, the final and most refined tissue layer. Varicocele and testicular atrophy indicate an imbalance in Vata and Pitta doshas, often leading to Shukra kshaya(depletion of semen and reproductive tissue)
AYURVEDIC MEDICATIONS
1) VRISHYA VATI= 2 tabs twice daily with milk = useful in oligospermia, poor libido, and mild testicular atrophy
2) YAUVANAMARITA VATI= 2 tabs twice daily after meals =enhances sexual strength, improvs semen
3) SPEMAN TABLETS= 2 tabs twice daily for at least 3 months = improves sperm count and quality
4) SHUKRA VALLABH RAS= 1 tab at night = chronic seminal weakness, poor libido, and erectile dysfunction
5) MUSLI PAK= 2 tsp with warm milk daily =nutritive tonics, rebuild strength and improves shukra dhatu
-NASYA= instill 2 drops of brahmi ghee in each nostril daily morning empty stomach
DIET
INCLUDE -warm, oily, nourishing foods - ghee, milk, almonds, sesame seeds -whole grains, root vegetables, dates, figs - cow milk + ghee daily
AVOID -dry, cold, stale or spicy foods - excessive caffeine, alcohol - smoking and processed food
LIFESTYLE AND REGIMEN
-OIL MASSAGE= ashwagandha taila- daily massage of lower abdomen, thighs, and scrotal area -early to bed, regular sleep cycle- crucial for testosterone production -gentle yoga and pranayam -bhujangasana -ashwini mudra - nadi sodhana to balance hormones and improves circulation
Full recovery varies, but 3 to 6 months of consistent ayurvedic treatment, diet and lifestyle usually show significant improvements in -energy levels and body mass - testicular size -semen quality and testosterone
HORMONE PROFILE TEST SHOULD BE DONE -total and free testosterone -LH,FSH -prolactin -semen analysis
THANK YOU
DR. HEMANSHU MEHTA
Take cap. ashwashila 1-0-1 after food with water Chyavanprash 2tsp in the morning before breakfast with milk, Tablet Liv-52 1-0-1 after food with water, will help improve your digestion and increase your hunger. Follow up after 45 days
Dont worry sahil,start- 1.Ashwagandha Lehyam or Ashwagandha Churna + Ghee + Milk Restores muscle, testosterone, semen 1 tsp with milk at night 2.Shilajit (pure) Boosts testosterone, energy, muscle growth 250–500 mg in warm milk once daily Kaunch Beej churna Rebuilds semen, testicle size, libido 1 tsp with milk, twice daily 3.Safed Musli churna Improves sperm count & quality 1 tsp in milk daily (morning) 4.Shatavari (optional if dryness/fatigue) Balances heat, supports reproductive system 1 tsp with milk at night
Diet to Regain Healthy Weight & Strength
Eat nourishing, anabolic (balya) foods:
Eat More Avoid
Cow’s milk + ghee + dates Spicy, dry, fried food Soaked almonds, black raisins, figs Cold water, excess tea/coffee Moong dal, rice, ghee Skipping meals or fasting Fresh khichdi with ghee, turmeric Late nights, excessive masturbation Drink warm milk with ghee + Ashwagandha or Shatavari at bedtime.
hello sahil, First of all, what you’ve gone through — varicocele and the impact it left — that’s not uncommon. Even if the swelling or discomfort is gone, the post-effect on testicle size, testosterone, semen quality, and body mass can continue for a while. The fact that you’re noticing slow improvement is a positive sign — it means the Shukra Dhatu is regenerating, just slowly.
Now, from an Ayurvedic lens, when we check through Nadi Pariksha, you’ll most likely show a Vata-Pitta imbalance. The Vata is drying and weakening the body mass, and the Pitta is disturbing your reproductive vitality. Plus, your Shukra Dhatu (semen tissue) and Mamsa Dhatu (muscle tissue) are undernourished due to past depletion. This leads to that weak feeling, lean frame, and dull energy.And yes, testicle shrinkage can happen after varicocele, but if blood flow improves and nutrition reaches deep tissues, they can regain some tone — maybe not the full size, but functionally enough to recover.
Ashwagandha Avaleha – 1 tsp with warm milk, twice a day (builds muscle, energy, testosterone) Makardhwaj Ras (Plain) – 1 tab morning with milk (don’t take gold or strong one now) Shatavari Kalpa – 1 tsp morning with milk (balances Pitta, nourishes reproductive system) Chyawanprash – 1 tsp at night with warm water or milk (supports ojas and semen quality) Kshirabala Taila (101) – 2 drops Nasya every morning after bath (strengthens brain–testes axis)
Massage : Once a week, apply Bala Ashwagandha oil around thighs, hips, lower back, and testicular area (gently). This stimulates blood flow and supports local regeneration.
Food tip:
Eat early, warm, ghee-rich food. Avoid late-night meals, junk, cold drinks. Add soaked black raisins, 1 date, 5 almonds every morning — this one habit alone helps Shukra dhatu more than many pills.
Realistically: 6–8 weeks to stop the downward trend. 3–4 months to gain strength, muscle, and better semen quality — if you stay consistent.
Don’t over-expect in 10 days, but the weakness will reverse. You’re young and your system is already trying to repair — Ayurveda just supports that deeply.
Also, if available, you can do Matra Basti (oil enema therapy) with Kshirabala taila or Ashwagandha taila weekly — very helpful for building energy and testicular recovery. Panchakarma centres usually offer this.
You’re on the right track. Just don’t rush. Stick to this daily and watch your body slowly rise back to its true power.
If you feel unsure, I’m here. Take care, Dr.Karthika
Don’t worry Sahil Start taking1.Ashwagandha choorna 1 tsf with lukewarm milk twice in a day. 2.Safed musli powder 1 tsf twice in a day. 3.shatavari tab.2-0-2 with Luke milk. 4. Daily Massage with Balaashwagandhadi oil… Follow up after 30 days.
Dealing with reduced testicle size and low testosterone is indeed challenging, but Ayurveda offers solutions with natural remedies and lifestyle modifications. Firstly, understanding your prakriti (individual constitution) and any dosha imbalances is essential. Small testicle size and low testosterone may are often linked to vata or pitta imbalances.
To boost testosterone levels and improve body mass, consider incorporating ashwagandha into your daily routine. Take around 300-500 mg of ashwagandha powder twice daily with warm milk after meals. Ashwagandha is renowned for its rejuvenating properties and can help enhance stamina, vitality, and muscle mass.
Diet plays a crucial role, so aim to consume protein-rich foods like nuts, seeds, and legumes. Add healthy fats such as ghee, avocado, and coconut oil, which support hormonal balance. Dairy products like milk and buttermilk are nourishing, but keep an eye on any aggravations as these are kapha-dominant foods.
For digestive health, proper agni (digestive fire) is critical. A teaspoon of ginger powder with honey before meals can improve digestion, aiding nutrient absorption for better nutrition and muscle gain. Good digestion supports all dhatus (tissues), including shukra (reproductive tissue), which influences semen quality and male energy.
Implement daily lifestyle practices like meditation and yoga to mitigate stress, which affects hormonal health. Pranayama, especially bhastrika and anulom vilom, enhances vitality and balances energies.
Testosterone-related conditions can take some time to stabilize. Consistent application of these methods might take a few months to see significant improvements in body mass and strength. Monitor your energy levels and muscle tone as an indicator of progress, and if symptoms persist talk to an Ayurvedic doctor for personalized guidance.
Remember, each body reacts differently to treatments. Consistency with dietary and lifestyle changes will support your system as it gradually returns to balance.
Start on Ashwagandha churna - 1/2 tsp with warm milk at night Chandraprabha vati- 1 tab twice daily after food with lukewarm wster
