Does This Sound Like Your Spermatocele?

My client, a 45-year-old male, calls telling me he has had a Spermatocele cyst on his left testicle for some time now. The doctor found a small pea-size lump on his left testicle 2-years ago during his yearly exam. At the time, the doctor had said not to worry about it unless his testicle becomes enlarged and painful. My client said that now his left testicle has become very swollen and painful, sometimes feeling like a squeezing pain.

According to my clients’ symptoms, I selected the Homeopathic Remedy Silica 200c, to be taken in a Remedy Solution Bottle (RSB) with 10 succussions 1-2 times a day when the pain becomes more intense. My client reported back a couple of days later, stating he no longer has the squeezing pain, and the left testicle swelling has decreased by approximately 25%. I had him continue taking Silica 200c once a day, and stated that if the testicle swelling doesn’t go down  50% or more within the next 4 days he should increase the succussions of the Silica to 12. My client called back a week later, stating he no longer has pain or swelling in his left testicle. He stated that he saw a dramatic improvement when he started succussing the Silica Remedy Solution Bottle 12 times.

Had my client told me his swelling was not going down significantly when he started succussing Silica with 12 succussions, I would have instructed him to take the Homeopathic Remedy Apis Melifica 200c , with 10 succussions 3 times a day, in conjunction with taking the Silica. Sometimes, when the swelling does not decrease, the fluid between the tissue layers is not eliminated with the selected Homeopathic Remedy for the acute symptoms, (in this case Silica) and in cases like that, Apis Melifica 200c will be needed to help decrease the swelling.

What are Spermatoceles and Epididymal Cysts?

A Spermatocele, also known as a Spermatic Cyst or Testicular Cyst and Epididymal Cyst, is usually a painless, noncancerous (benign) sac that is filled with milky or clear fluid that grows on the top of a testicle behind the testicle, and the epididymal cyst develops in the epididymis (the tube attached to each testicle and goes to the vas deferens, which transports the sperm from the testicle). The fluid may contain sperm that are no longer alive. Most males never know they have a cyst on their testicle or epididymis because the cyst is usually the size of a pea and causes no symptoms. Spermatoceles and Epididymal cysts can affect 1 in 3 adult men at any age. They commonly occur in middle – aged men in their 40’s or 50’s.

Symptoms of Spermatoceles and Epididymal Cysts

Spermatocele and Epididymal cysts are non-cancerous, and don’t cause testicular cancer. These kinds of cysts usually don’t cause any symptoms, though they may feel like a smooth, firm pea-sized lump in the scrotum (the pouch that contains the testicles) on top of the testicle.

If the cyst becomes large enough, you may feel:

  • An extra lump or mass above the testicle on one side of your scrotum
  • Pain (dull) or discomfort in the affected testicle
  • Heaviness in the testicle or a feeling of pressure at the base of the penis
  • Redness of the scrotum, with a fullness behind and above the testicle
  • Swelling of the scrotum
  • Some men described the cysts as looking similar to a third testicle


What Causes Spermatoceles and Epididymal Cysts?

The exact cause of these cysts may be a blockage in one of the tubes that transport sperm and the epididymis. Studies have shown men whose mothers were given the drug diethylstilbestrol (DES) during pregnancy to prevent miscarriage, and other pregnancy complications may have a higher risk of Spermatoceles or Epididymal Cysts.

How Doctors Treat Spermatocele and Epididymal Cysts

Doctors usually will only recommend treatment when a large Spermatocele or Epididymal Cysts cause uncomfortable symptoms. When a cyst becomes large and causes discomfort, the doctor might suggest surgery to remove the Spermatocele or Epididymal Cyst. Sometimes the surgical removal might damage the epididymis or the vas deferens or reduce fertility.

Homeopathic Treatment of a Spermatocele and Epididymal Cysts

A Homeopathic Remedy can address both Epididymal Cysts and Spermatoceles, and a Homeopathic Remedy will beselected according to the exhibited symptoms. The selected Homeopathic Remedy will be taken in a 30c or 200c potency 1 or more times a day when the symptoms become more intense again.

  • Apis Mellifica – Swelling of the scrotum, especially the right side. Violent itching and redness of the scrotum that is sore to the touch.
  • Conium Maculatum – The testicle is hard and enlarged from a cyst, especially after an injury to the genital area.
  • Cantharis – Pain and swelling in genitals, especially with kidney and bladder symptoms.
  • Phosphorus – Testes are sore, swollen, and painful, especially the left testicle. Symptoms are better from applying cold on the genital area.
  • Pulsatilla – Sore, aching feeling of testicles and burning, which can be with or without swelling. Pain and tenesmus (have an urgent or frequent urge to pass stool when your bowels are empty) while urinating. The symptoms are worse lying on your back. Testes may hang low.
  • Rhododendron Chrysanthum – Testicle is hard (indurated), swollen, and painful to touch, especially the epididymis. The genital area and in between the thighs may have a burning sensation, especially when walking. The symptoms are worse by touch and sitting and are better when moving about. Pains may be intense and cause gasping for air. You may have chronic (recurring) enlargements and indurations of the testes.
  • Sepia – Swelling of the scrotum, with cutting pain in the testes.
  • Silica – You have a burning and soreness of the genitals. Testicles have a squeezing pain and elephantiasis (gross enlargement of area) of the scrotum from the cyst. Silica is commonly used for cysts anywhere in the body.
  • Spongia Tosta – Testes are hard and swollen with a pressing, squeezing, or sharp pain in the testicles.
  • Teucrium Marum Verum – A drawing pain behind the left side of the root of the penis, which extends to the left side of the scrotum and is sore to touch.
  • Thuja Occidentalis – Testes feel bruised. The left testicle is drawn up toward the body. You may have an offensive smell in the genital area. Thuja is commonly selected for various kinds of cysts and tumors, especially reoccurring ones.


Taking a Homeopathic Remedy will address the acute pain and swelling of your Spermatocele or Epididymal Cysts, along with why you have developed the cysts, too. The majority of these types of growths are not serious, but Homeopathy can help bring you back to full genital health.


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About the Author: Virangini Cindy

Virangini Cindy Rounsaville, C. Hom., is a homeopathic health consultant and educator who has been involved with homeopathy since the early 1980's. She has studied the field extensively with internationally known homeopath and author Dr. Robin Murphy, N.D., among others. She began teaching and consulting in 1983 and, along with her late father Louis Dion, C. Hom. began a homeopathic study group in Hunterdon County, NJ to help people learn and use homeopathy in their daily lives. Virangini Cindy works closely with medical doctors, chiropractors, and other homeopathic and holistic practitioners. She has incorporated Rasavidya Medical Astrology (different than regular astrology) into her practice as well. Having practiced QiGong since the 1980's, she uses medical QiGong poses alongside the medical astrology to help individuals with life issues and chakra balancing.