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Introduction The Multi-Fiber Arrangement (MFA) has governed international trade in textiles and clothing since 1974. The MFA enabled developed nations, mainly the USA, European Union and Canada to restrict imports from developing countries through a system of quotas. The Agreement on Textiles and Clothing (ATC) to abolish MFA quotas marked a significant turnaround in the global textile trade. The ATC mandated progressive phase out of import quotas established under MFA, and the integration of textiles and clothing into the multilateral trading system before January 2005. The Agreement on Textiles and Clothing ATC is a transitory regime between the MFA and the integration of trading in textiles and clothing in the multilateral trading system. The ATC provided for a stage-wise integration process to be completed within a period of ten years (1995-2004), divided into four stages starting with the implementation of the agreement in 1995. The product groups from which products were to be integrated at each stage of the integration included (i) tops and yarns; (ii) fabrics; (iii) made-up textile products; and (iv) clothing. The ATC mandated that importing countries must integrate a specified minimum portion of their textile and garment exports based on total volume of trade in 1990, at the start of each phase of integration. In the first stage, each country was required to integrate 16 percent of the total volume of imports of 1990, followed by a further 17 percent at the end of first three year and another 18 percent at the end of third stage. The fourth stage would see the final integration of the remaining 49 percent of trade. Global Trade in Textile and Clothing World trade in textiles and clothing amounted to US $ 385 billion in 2003, of which textiles accounted for 43 percent (US $ 169 bn) and the remaining 57 percent (US $ 226 bn) for clothing. Developed countries accounted for little over one-third of world exports in textiles and clothing. The shares of developed countries in textiles and clothing trade were estimated to be 47 percent (US $ 79 bn) and 29 percent, (US $ 61 bn) respectively. Import Trends in USA In 1990, restrained or MFA countries contributed as much as 87 percent (US $ 29.3 bn) of total US textile and clothing imports, whereas Caribbean Basin Initiative (CBI), North American Free Trade Area (NAFTA), Africa Growth and Opportunity Act (AGOA) and ANDEAN countries together contributed 13 percent (US $ 4.4 bn). Thereafter, there has been a decline in exports by restrained countries; the share of preferential regions more than doubled to reach 30 percent (US $ 26.9 bn) of total imports by USA. The composition of imports of clothing and textiles by USA in 2003 was 80 percent (US $ 71 bn) and 20 percent (US $ 18 bn), respectively. Asia was the principal sourcing region for imports of both textiles and clothing by USA. Latin American region stood at second position with a share of 12 percent (US $ 2.2 bn) and 26 percent (US $ 18.5 bn), respectively, for textiles and clothing imports, by USA. In most of the quota products imported by USA, India was one of the leading suppliers of readymade garments in USA. Though China is a biggest competitor, the unit prices of China for most of these product groups were high and thus provide opportunities for Indian business. Import Trends in EU EU overtook USA as the world's largest market for textiles and clothing. Intra-EU trade accounted for about 40 percent (US $ 40 bn) of total clothing imports and 62 percent (US $ 32.5 bn) of total textile imports by EU. Asia dominates EU market in both clothing and textiles, with 30 percent (US $ 30 bn) and 17 percent (US $ 8 bn) share, respectively. Central and East European countries hold a market share of 11 percent (US $ 11.3 bn) in clothing and 7.5 percent (US $ 4 bn) in textiles imports of EU. As regards preferential suppliers, the growth of trade between EU and Mediterranean countries, especially Egypt and Turkey, was highest in 2003. As regards individual countries, China accounted for little over 5 percent (US $ 2.8 bn) of EU's imports of textiles and over 12 percent (US $ 12.4 bn) of clothing imports. In the EU market also, India is a leading supplier for many of the textile products. It is estimated that Turkey would emerge as a biggest competitor for both India and China. However, with regard to unit prices, India appears to be lower than both Turkey and China in many of the categories. Import Trends in Canada Amongst the leading suppliers of textiles and clothing to Canada, USA had the highest share of over 31 percent (US $ 8.4 bn), followed by China (21% - US $ 1.8 bn) and EU (8% - US $ 0.6 bn). India was ranked at fourth position and was ahead of other exporters like Mexico, Bangladesh and Turkey, with a market share of 5.2 percent (US $ 0.45 bn). Potential Gains It may be noted that clothing sector would offer higher gains than the textile sector, in the post MFA regime. Countries like Mexico, CBI countries, many of the African countries emerged as exporters of readymade garments without having much of textile base, utilizing the preferential tariff arrangement under the quota regime. Besides, countries like Bangladesh, Sri Lanka, and Cambodia emerged as garment exporters due to cost factors, in addition to the quota benefits. It may be said that countries like China, USA, India, Pakistan, Uzbekistan and Turkey have resource based advantages in cotton; China, India, Vietnam and Brazil have resource based advantages in silk; Australia, China, New Zealand and India have resource based advantages in wool; China, India, Indonesia, Taiwan, Turkey, USA, Korea and few CIS countries have resource based advantages in manmade fibers. In addition, China, India, Pakistan, USA, Indonesia has capacity based advantages in the textile spinning and weaving. China is cost competitive with regard to manufacture of textured yarn, knitted yarn fabric and woven textured fabric. Brazil is cost competitive with regard to manufacture of woven ring yarn. India is cost competitive with regard to manufacture of ring-yarn, O-E yarn, woven O-E yarn fabric, knitted ring yarn fabric and knitted O-E yarn fabric. According to Werner Management Consultants, USA, the hourly wage costs in textile industry is very high for many of the developed countries. Even in developing economies like Argentina, Brazil, Mexico, Turkey and Mauritius, the hourly wage is higher as compared to India, China, Pakistan and Indonesia. From the above analysis, it may be concluded that China, India, Pakistan, Taiwan, Hong Kong, Brazil, Indonesia, Turkey and Egypt would emerge as winners in the post quota regime. The market losers in the short term (1-2 years) would include CBI countries, many of the sub-Saharan African countries, Asian countries like Bangladesh and Sri Lanka. The market losers in the long term (by 2014) would include high cost producers, like EU, USA, Canada, Mexico, Japan and many east Asian countries. The determinants of increase / decrease in market share in the medium term would however depend upon the cost, quality and timely Review of Indian Textiles and Clothing Industry The textiles and garments industry is one of the largest and most prominent sectors of Indian economy, in terms of output, foreign exchange earnings and employment generation. Indian textile industry is multi-fiber based, using delivery. In the long run, there are possibilities of contraction in intra-EU trade in textile and garments, reduction of market share of Turkey in EU and market share of Mexico and Canada in USA, and thus provide more opportunities for developing countries like India. It is estimated that in the short term, both China and India would gain additional market share proportionate to their current market share. In the medium term, however, India and China would have a cumulative market share of 50 percent, in both textiles and garment imports by USA. It is estimated that India would have a market share of 13.5 percent in textiles and 8 percent in garments in the USA market. With regard to EU, it is estimated that the benefits are mainly in the garments sector, with China taking a major share of 30 percent and India gaining a market share of 8 percent. The potential gain in the textile sector is limited in the EU market considering the proposed further enlargement of EU. It is estimated that India would have a market share of 8 percent in EU textiles market as against the China's market share of 12 percent. Review of Indian textiles and Clothing Industry The textiles and garments industry is one of the largest and most prominent sectors of Indian economy, in terms of output, foreign exchange earnings and employment generation. Indian textile industry is multi-fiber based, using cotton, jute, wool, silk and mane made and synthetic fibers. In the spinning segment, India has an installed capacity of around 40 million spindles (23% of world), 0.5 million rotors (6% of world). In the weaving segment, India is equipped with 1.80 million shuttle looms (45% of world), 0.02 million shuttle less looms (3% of world) and 3.90 million handlooms (85% of world). The organised mill (spinning) sector recorded a significant growth during the last decade, with the number of spinning mills increasing from 873 to 1564 by end March 2004. The organised sector accounts for production of almost all of spun yarn, but only around 4 percent of total fabric production. In other words, there are little over 200 composite mills in India leaving the production of fabric and processing to the decentralised small weaving and processing firms. The Indian apparel sector is estimated to have over 25000 domestic manufacturers, 48000 fabricators and around 4000 manufacturer-exporters. Cotton apparel accounts for the majority of Indian apparel exports. Textiles and Garments Exports from India The share of textiles and garments exports in India's total exports in the year 2003-04 stood at about 20 percent, amounting to US $ 12.5 billion. The quota countries, USA, EU and Canada accounted for nearly 70 percent of India's garments exports and 44 percent of India's textile exports. Amongst non-quota countries, UAE is the largest market for Indian textiles and garments; UAE accounted for 7 percent of India's total textile exports and 10 percent of India's garments exports. In terms of products, cotton yarn, fabrics and made-ups are the leading export items in the textile category. In the clothing category, the major item of exports was cotton readymade garments and accessories. However, in terms of share in total imports by EU and USA from India, these products hold relatively lesser share than products made of other fibers, thus showing the restrain in this category. Critical Factors that Need Attention Though India is one of the major producers of cotton yarn and fabric, the productivity of cotton as measured by yield has been found to be lower than many countries. The level of productivity in China, Turkey and Brazil is over 1 tonne / ha., while in India it is only about 0.3 tonne / ha. In the manmade fiber sector, India is ranked at fifth position in terms of capacity. However, the capacity and technology infusion in this sector need to be further enhanced in view of the changing fiber consumption in the world. It may be mentioned that the share of cotton in world fiber demand declined from around 50 percent (14.7 mn tons) in 1982 to around 38 percent (20.12 mn tons) in 2003, while the share of manmade fiber has increased from 44 percent (13.10 mn tons) to around 60 percent (31.76 mn tons) over the same period. Apart from low cost labour, other factors that are having impact on final consumer cost are relative interest cost, power tariff, structural anomalies and productivity level (affected by technological obsolescence). A study by International Textile Manufacturers Federation revealed high power costs in India as compared to other countries like Brazil, China, Italy, Korea, Turkey and USA. Percentage share of power in total cost of production in spinning, weaving and knitting of ring and O-E yarn for India ranged from 10 percent to 17 percent, which is also higher than that of countries like Brazil, Korea and China. Percentage share of capital cost in total production cost in India was also higher ranging from 20 percent to 29 percent as compared to a range of 12 to 26 percent in China. In India, very few exporters have gone in for integrated production facility. It is noted that countries that would emerge as globally competitive would have significantly consolidated supply chain. For instance, competitor countries like Korea, China, Turkey, Pakistan and Mexico have a consolidated supply chain. In contrast, apart from spinning, the rest of the activities like weaving, processing, made-ups and garmenting are all found to be fragmented in India. Besides, the level of technology in the Indian weaving sector is low compared to other countries of the world. The share of shuttle less looms to total loomage in India is 1.8% as compared to Indonesia (10%), Bangladesh (10%), Sri Lanka (12%), China (14%) and Mexico (29%). The supply chain in this industry is not only highly fragmented but is beset with bottlenecks that could very well slow down the growth of this sector. As a result the average delivery lead times (from procurement to fabrication and shipment of garments) still takes about 45-60 days. With international lead delivery times coming down to 30-35 days, India needs to cut down the production cycle time substantially to stay in the market. Besides, erratic supply of power and water, availability of adequate road connectivity, inadequacies in port facilities and other export infrastructure have been adversely affecting the competitiveness of Indian textiles sector. Conclusions It is believed the quota regime has frozen the market share, providing export opportunities even for high cost producers. Thus, in the free trade regime, the pattern of imports in the quota countries would undergo changes. The issues that would govern the market share in the post quota regime would eventually be productivity, raw material base, quality, cost of inputs, including labour, design skills and operation of economies of scale. It is believed that quotas, by limiting the supply of goods have kept export prices artificially high. Thus, it is estimated that there would be price war in the post quota regime, with competitive price cuts. The price and quantity effects would depend on the efficiency in production process, supply chain management and the price elasticity of demand. Due to the expected fall in prices, developing countries with high production cost have little choice but to compete head-on with the biggest low cost suppliers. In this process, it is presumed that there would be better resource reallocation in these economies. It is assumed that quota restrictions would continue beyond 2005 in various forms. It is also widely recognized that removal of quota may not directly provide easy and unrestricted access to developed country markets. There would be non-tariff barriers as well. Standards related to health, safety, environment, quality of work life and child labour would gain further momentum in international trade in textiles and clothing. Strategies and Recommendations Cost competitiveness in Indian garments sector has been restrained by limited scale operations, obsolete technology and reservation under SSI policies. While retaining its traditional cost advantages of home grown cotton and low cost labour, India needs to sharpen its competitive edge by lowering the cost of operations through efficient use of production inputs and scale operations. Besides, there are needs for rationalization of charges, levies related to usage of export logistics to remain cost competitive. As fallout to the quota regime, there would be consolidation of production and restriction on supplying countries, which would necessarily mean improved scale operations. Indian players should also integrate to achieve operating leverage and demonstrate high bargaining power. It is reported that Chinese textile firms have already invested heavily to expand and grab huge market share in the quota free world. In India, organised players in this sector would require huge investments to remain competitive in the quota free world. These players need to expand and integrate vertically to achieve scale operations and introduce new technologies. It is estimated that the industry would require Rs. 1.5 trillion (US $ 35 billion) new capital investment in the next ten years (by 2014) to lap the potential export opportunities of US $ 70 billion. It is estimated that USA and EU together would offer a market of US $ 42 billion for Indian textiles and garments in 2014. Technology would play a lead role in the weaving and processing, which would improve quality and productivity levels. Innovations would also be happening in this sector, as many developed countries would innovate new generation machineries that are likely to have low manual interface and power cost. Indian textile industry should also turn into high technology mode to reap the benefits of scale operations and quality. Foreign investments coupled with foreign technology transfer would help the industry to turn into high-tech mode. Internationally, trading in textile and garment sector is concentrated in the hands of large retail firms. Majority of them are looking for few vendors with bulk orders and hence opting for vertically integrated companies. Thus, there is need for integrating the operations in India also, from spinning to garment making, to gain their attention. This would also bring down the turn around time and improve quality. Indian players should also improve upon their soft skills, viz., design capabilities, textile technology, management and negotiating skills. Garment manufacturing business is order driven. It would be difficult for the players to keep the workforce full time, even in lean season. This calls for changes in contract labour laws. Logistics and supply chain would also play a crucial role as timely delivery would be an important requirement for success in international trade. The logistics and supply chain management of Indian textile firms are relatively weak and needs improvement and efficiency. China has already created a world class export infrastructure. Given the volume of projections for exports by India, it may be necessary to create additional export infrastructure, especially investment for modernization of ports. In addition, India needs to invest for creating brand equity, supply chain management and apparel industry education. To sum up, the ability of Indian textile industry to take advantage of quota phase-out would depend upon their ability to enhance overall competitiveness through exploitation of economies of scale in manufacturing and supply chain. The need of the hour therefore is to evolve a well chalked out strategy, aimed at improvement in the levels of productivity and efficiency, quality control, faster product innovation, quick response to changes in consumer preferences and the ability to move up in the value chain by building brand names and acquiring channels of distribution so as to outweigh the advantages of competitors in the long run. Source: Export-Import Bank of India, India. natural penis enlarement pills herbal penis enlagement pills com enlarement penis penis pump enlargment manhattan penis surgeon free penis enhancement exercise enlargment manhattan penis surgeon penis elargement device penis enlarement before and after

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Testosterones Under Control Testosterones are the male hormones the make you a male and keep your sex drive as you would like it to be. Reduced testosterones might be able to give you sleepless nights by reducing your sex drive and may by unsatisfied wife or girl friend The male hormones are responsible for the male characteristics that you display since onset of puberty. The hoarse voice, the beard and the pubic hair are all the characteristics that you get are due to presence of testosterones. If the testosterones get reduced, you might get a low sex drive, a feminine voice and other feminine characteristics. These characteristics are not liked by men and sometimes ostracism of men can happen. Symptoms of Low Testosterone You might be having low testosterone if you have the following symptoms 1. You are having reduced body hair 2. You show breast enlargement 3. You show violent moods and change your moods very frequently 4. You have a low sex drive and you are unable to achieve penetration while having intercourse 5. You are over the age of 55, you are depressed and lethargic 6. Your work performance has reduced although you cannot find any other reason for it. Testosterone is the chemical that keeps the males in the pink of sexual health. All the males have a tendency of having low testosterone count after the age of 40 or 45. Low testosterone cont is often known as lame menopause. The conditions can be treated by testosterone replacement theory or TRT. How to Increase Testosterone Levels Testosterone cannot be increased by natural means beyond a certain levels. The testosterone levels in body can be increased by regular exercising and keeping the body trim and fit. In case you exercise regularly, the hypothalamus and the pituitary glands become active and secret sufficient amount of testosterone you keep the male in you intact. These glands once activated remain active for long time and change your attitude for life. In the old age, when all your body functions decrease, how can the testosterone remain the same even in the receding years? Testosterone levels decrease during the advancing years and this is reflected in the loss of agility and quickness of the steps. The treatment for the reduced testosterone is the testosterone replacement therapy. The additional testosterone required by the body in advancing ages is supplied by the body is not enough for maintaining body functions The testosterone can be had in form of oral tablets, injections, creams, and gels. While the injections and the oral tablets have their own disadvantages, the creams and gels are not free from the disadvantages and side effects. Essentially, you have to choose between the discomfort from the side effects and good effects that you get from increased testosterone In the final analysis, you might even tolerate the effects of reduced testosterone levels rather than tolerate the side effects of the testosterone supplements. Take your pick between the two but with advice from doctor and not independently. pnis enlargement surgeon penis enlargment doctor free penis enlargement real penis enhancement do penis enlagement pills work compare penis enargement pills best penis enlargement pills vimax compare penis enlargement pills penis elargement information

Circumcision is the surgical removal of the foreskin (prepuce) of the penis. Most of the time circumcision in infant boys is usually performed for cultural or religious reasons, but people believe that this operation provides some medical advantages. Regarding medical advantages of circumcision, doctors opinion are divided, many of them showed that the medical advantages are considered to be slight, because conditions such as phimosis and cancer of the penis are rare even in men who have not been circumcised. One after another, they said, the minor benefits of circumcision seem to be contrabalanced by the minor risks, so this operation is neither essential nor detrimental to a boy's health Recently, a study issued in The Wall Street Journal, concludes that male circumcision reduces the risk that men will contract HIV through intercourse with infected women by about 70 percent. A study of more than 3,000 circumcised men in South Africa was done by the French agency for Aids and Viral Hepatitis. The data, outlined at a conference in Brazil, suggests circumcision could be effective in preventing the spread of HIV among men and shows male circumcision prevented about seven of 10 infections. UN health agencies have cautioned that more trials are necessary before they will recommend this as a method to protect against AIDS. To have a full conclusion, further trials are being carried out in Uganda and Kenya to measure the effect of circumcision on other populations. free exercise tip for penis enargement easy enargement free penis surgery way penis enhancement herb best penis enlagement pills penis enargement pills free penis enargement pills penis enlarement pic free penis elargement penis elargement information

In trying to rekindle the sexual magic in my relationship with my wife I came across Stamina Rx. A product from High-Tech Pharmaceuticals, I wasn’t much optimistic about its results at first. My journey to find the lost magic in our sexual life had led me to experiment with many other sex supplements and prescription drugs, but none of them were able to deliver what they promised; although I had spent a fortune on them. Stamina Rx works. Stamina Rx has been termed as an alternative to Cialis. Moreover researchers say that the use of highest grade extracts and neutraceuticals during the manufacture stage makes it more effective than Cialis and Viagra, the famed erectile dysfunction pill from Pfizer. This has been termed as a breakthrough discovery for arousing the couple during the sexual activity and maintaining the desire by inducing to do more than once. Does this make you feel nostalgic of the old times when you would hardly let your wife sleep doing sex all night? The distinct feature of Stamina Rx is that it creates within us the desire to have sex. It improves sensitivity among the couple, making them crave for more sex. The sex supplement owes this distinctiveness to Dopamine and Norepinephrine. When a person consumes Stamina Rx, it stimulates these neurotransmitters (Dopamine and Norepinephrine), which in turn energizes the hypothalamus (a part of human brain where sex originates). Thus, the pill works very naturally in fuelling sexual urge in the couple. Xanthoparmelia Scabrosa and Cnidium Monnier are the main ingredients in Stamina Rx. Xanthoparmelia is lichen found in some Oriental countries like China and Hong Kong. What makes this herb well suited for treating impotence among men is the presence of Pyrazolo Pyrimidinone, being its natural source. Xanthoparmelia Scabrosa inhibits PDE-5 and allows smooth flow of blood to the penis, thus creating natural erections. When Stamina Rx is taken by women, the ingredient works by blocking an enzyme in the body which allows blood to remain in the clitoris. Cnidium Monnier was the gift to America by china. Stamina Rx, employs a coumarin isolated from cnidium monnier which is known as osthole. Osthole arouses the production of nitric oxide, which then results in the production of cyclic GMP (cGMP). cGMP smoothens the muscle and lets the penile arteries to expand and fill with blood. In men this ingredient impacts the nitric oxide release and inhibits PDE-5. In women, the nitric oxide release in large amount allows blood to remain in the clitoris. Stamina Rx boasts of an impressive list of other ingredients. These are: • Yohimbe 8% Extract Yohimbine is an alkaloid contained in the herbal product, yohimbe. The drug influences the flow of blood to the penis and men’s libido. With a high percentage of Yohimbine HCL, Stamina-Rx can be very useful. • L-Arginine This is another ingredient in the sex supplement that increases natural production of nitric oxide and thus creates a more rigid erection. • Gamma Amino Butyric Acid These raise the dopamine levels in hypothalamus and thus stir up an ecstatic feeling and increase sensations during orgasm. • Epimedium / Horney Goat Weed The name sounds funny but has been found to be very effective in increasing the sex drive. With the use of 20:1 extract Stamina Rx beats all competition. • Icariin 50TM This has been found to have inhibitory effects on PDE-5 and PDE-4 activities and thus very effective in case of erectile dysfunction. • Cistanches Extract Imported exclusively from China, this has been known to have positive effect on libido and sexual energy. • Mucuna Pruriens The herb works by stimulating the release of dopamine and norepinephrine and thus induces sexual desire and libido. • Ageratum Extract Ageratum extract results in the release of oxytocin. When the herb is taken by women, they have reported of powerful, "full body" orgasms and multiple orgasms. However, Stamina Rx is not a wonder drug. Some considerations need to be taken while using this drug for best results. Stamina Rx must be avoided if you are undergoing medication for high blood pressure, kidney, thyroid, psychiatric disease, anxiety, depression, seizure disorder or stroke. The drug is not for the use of children and those under the age of 18. Though this drug is also available for women, pregnant women must avoid its use. Your physician is the best person to decide if you can use this supplement. He will also recommend you the dosage of Stamina Rx. Generally one or two tablets are taken an hour before sexual activity. This product still awaits an approval by FDA. penis elargement technique pnis enlargement product penis girth enlargement penis enlarement result penile enlargement exercise plus vig rx penis elargement information penis enlargment surgeries penis elargement information

What is a varicocele? A varicocele is a swollen vein in the scrotum. Normal veins in the scrotums are usually constricted and not dilated. In varicocele, the veins in the scrotums are dilated. Varicoceles are more commonly found in the left scrotum than then in the right due to anatomic factors. Varicocele is a well-known cause of subnormal testicular function and can be found in approximately 20-25% of all males and in 40% of infertile males. As a matter of fact, varicocele is the leading cause of infertility in males. Varicoceles are easy to detect and can be easily corrected by surgical interventions. Varicoceles are much more common in the left scrotum (80-90%) than in the right as a result of several anatomical factors. Also of importance is that right-sided varicoceles should be carefully investigated as more often than not, a right-sided varicocele may indicate cancer of the right kidney. How do I know I'm affected by varicocele? A varicocele feels like a "bag of worms". Contrary to what most people believe, varicoceles usually do not cause any pain, but swelling of the scrotum, be it in one or both sides. Other problems that have to be excluded, that may cause scrotum enlargement include fluids in the scrotum, testicular cancer, a cyst or spermatocele, etc. In general, varicoceles are harmless, are not cancerous, although in the long run, they may give rise to infertility. Some health professionals believe that if left untreated, they may even cause cancer of the testicles. What are the long term complications of untreated varicocle? If left untreated, varicoceles may give rise to several problems: 1. Testicular atrophy (or shrinkage) 2. Infertility 3. Testicular cancer (rare) How is a varicocele diagnosed? Varicocele is diagnosed clinically by testicular examination. Alternatively, if a diagnosis of varicocele is uncertain, high-resolution color-flow Doppler ultrasonography is the diagnostic method of choice. What are the treatment options available for varicoceles? Medical therapy has no place in the treatment of varicoceles. The main form of treatment for varicocle is surgery. However, the presence of a varicocele does not necessarily need surgical correction. Having said that, if treatment is indicated, surgical correction is the treatment of choice. There are several methods of surgical corrections, these include microscopic sub-inguinal varicocelectomy, inguinal varicocelectomy, retroperitoneal varicocelectomy and laparascopic varicocelectomy. In most cases, the patient is sedated. What lifestyle changes can be carried out to optimize semen quality and quantity? There are ways for sufferes of varicoceles to improve their semen quality and quantity by life style changes, these include: 1. Quit smoking 2. Avoid use of marijuana 3. Avoid use of cocaine 4. Avoid use of anabolic steroids 5. Reduce alcohol intake 6. Avoid lubricants 7. Increase aerobic exercises.