How to Know if You Have Epididymitis

Опубликовал Admin
12-12-2020, 02:40
Experts say that epididymitis is an inflammation of the tube connected to your testicles, which can cause pain and tenderness in the area. While epididymitis is often caused by sexually transmitted infections (STIs), it's usually treatable with a single round of antibiotics. Regardless, researchers note that if you are having pain, tenderness, or swelling in your scrotum area, you should always consult with your doctor about it so you can determine and treat the cause.

Recognizing Common Symptoms

  1. Pay attention to testicular pain that begins on one side. With epididymitis, pain usually starts on one side, rather than both at the same time. Over time, it may slowly expand to both sides. Typically, you'll notice pain on the underside of your testicle first, though it will spread to the whole testicle.
    • The type of pain differs depending on how long the epididymis has been inflamed; it may be a sharp or burning pain.
    • If pain comes on quickly in both testicles, it's likely not epididymitis. However, you should definitely still be seen by a doctor.
  2. Look for swelling or redness in your infected testicle. The swelling or redness may be on one side only or spread to both sides over time. Your testicle may also feel warm, and you may feel uncomfortable sitting because of the swelling in the testicle.
    • The testicle will also appear red because of the increased blood flow to the area and become swollen because more fluid is leaking into the infected area.
    • You may also notice a lump on your affected testicle that's filled with fluid.
  3. Notice urinary symptoms. You may find urinating painful with this condition. You may also feel the need to go to the bathroom more often than usual, or that you need to urinate with more urgency.
    • You may also have blood in your urine.
    • Often, epididymitis results from an infection that starts in the urethra and then moves up the tube, eventually infecting the epididymus. Any infection in the urinary tract can irritate the bladder, causing pain.
  4. Look for urethral discharge. Sometimes, a clear, white or yellowish discharge may appear at the tip of your penis due to the inflammation and infection of the urinary tract. This symptom is more likely if your infection is caused by an STI.
    • Don't worry. Even if it is an STI, it's still likely to be easily treatable.
  5. Take your temperature to see if you have a fever. As the inflammation and infection spread throughout the body, fever can occur as a defense mechanism. Chills may accompany your fever, as well.
    • Fever is your body's way of fighting off infection. Anything over 100°F (38°C) means you need to visit the doctor.
  6. Keep track of how long you experience your symptoms. Acute epididymitis is characterized by symptoms that have been present for fewer than 6 weeks. Symptoms that stick around for longer than 6 weeks are indicative of chronic epididymitis. Let your doctor know how long you've been experiencing your symptoms, as this may impact your treatment.

Evaluating Possible Risk Factors

  1. Think about if you've had unsafe sex recently. This infection can develop from a sexually transmitted infection, so practicing unsafe sex, particularly with multiple partners, puts you at risk for epididymitis. If you've had unsafe sex recently and you're exhibiting symptoms, that could mean you have this condition.
    • Wear a latex or nitrile condom every time you have sex, even if you're not having vaginal sex. You need protection, whether you're having oral, anal, or vaginal sex.
    • Epididymitis is commonly caused by sexually transmitted infections (STIs) including chlamydia, gonorrhea, and certain bacterias transmitted during anal sex.
  2. Look at your recent medical history, including surgery and catheters. Frequent use of catheters can lead to urinary tract infections and epididymitis. Similarly, a recent surgery in the groin area may also lead to this condition, so consult your doctor if you think this may be the cause of your issues.
    • Enlarged prostates, fungal infections, and use of the antiarrhythmic drug amiodarone may also lead to this condition.
    • Chronic epididymitis is commonly associated with granulomatous reactions such as tuberculosis (TB).
  3. Consider any recent traumas you've had to the area. While uncommon, trauma to your groin, including being kicked or kneed in that area, can lead to this condition. If you've had a recent injury to that area and are experiencing the noted symptoms, you could have epididymitis.
  4. Keep in mind there might not be a known cause. While there are other, rarer causes like tuberculosis or the mumps, your doctor may not find a cause at all. Sometimes, you just develop this condition for seemingly no reason.
    • Whether your situation has a known cause or not, the doctor isn't there to judge you. They just want to help you get better.

Visiting the Doctor

  1. Visit your doctor if you're exhibiting symptoms. Whether your condition is epididymitis or not, you still need to visit the doctor if you're having testicle pain, swelling, redness, or tenderness, or you're having trouble urinating.
    • Schedule an appointment to see your doctor as soon as you start experiencing symptoms.
    • Be ready to talk about your recent history, including your recent sexual history. Be honest, as that's the only way the doctor can treat you properly. They've heard it all before.
  2. Prepare yourself for a physical exam. The doctor will want to check out your groin area and feel the affected testicles. While this may be a little embarrassing for you, it's necessary for diagnosis. If you're feeling a little anxious, know you're not alone, as many people feel uncomfortable in this situation.
    • Your doctor will check for tenderness in your lower back to look for possible kidney or bladder infections that may be contributing to your epididymitis. Your doctor may also collect a urine sample to check for a UTI.
    • The doctor may also want to do a rectal exam to check your prostate.
  3. Expect testing for STIs. Because this infection can result from an STI, your doctor will want to run these tests. Typically, you'll provide a urine sample, and your doctor may swab the inside of your penis.
    • While the test may be uncomfortable, it's usually not painful.
  4. Be ready for blood tests. Your doctor will also likely take blood tests including a C-reactive protein or an erythrocyte sedimentation rate test, as these can use the tests to detect any abnormalities that may be causing the infection. They may also be able to identify strains of bacteria in your blood.
  5. Ask about an ultrasound. An ultrasound can help the doctor determine if your issue is epididymitis or testicular torsion. In younger men, this distinction can be difficult to make, and an ultrasound can help.
    • They'll just pass a wand over the area to take a Doppler ultrasound. If blood flow to the area is low, it indicates testicular torsion. If it's high, it indicates epididymitis.

Treating the Illness

  1. Expect a prescription for antibiotics. Epididymitis is treated based on the cause of the inflammation. Most cases are caused by infection, so your doctor will probably prescribe you an antibiotic. The type of antibiotic depends on whether the infection is caused by an STI or not. If your epididymitis is caused by an STI, your sexual partner may also receive a prescription.
    • For gonorrhea and chlamydia infections, the doctor will generally give you a single dose of the antibiotic ceftriaxone (250 mg) as a shot, followed by 100 mg of doxycycline as a pill twice a day for 10 days.
    • In some cases, the doxycycline may be replaced by 500 mg of levofloxacin once a day for 10 days or 300 mg of ofloxacin twice a day for 10 days.
    • If your infection is caused by an STI, you will need to avoid intercourse until both you and your partner have completed your full antibiotic course.
    • If your infection isn't caused by an STI, you may just be given the levofloxacin or ofloxacin without the ceftriaxone.
  2. Take an anti-inflammatory NSAID like ibuprofen. These medications can be used to reduce the pain and inflammation. They're convenient, as they're probably already in your bathroom cabinet, and relatively effective. However, do not self-medicate for more than 10 days on an analgesic like ibuprofen; consult your doctor again if pain continues past 10 days.
    • For ibuprofen, take 200 mg every 4-6 hours to reduce the pain and inflammation. You can increase the dose to 400 mg if necessary.
  3. Lay down and rest while elevating your groin area. Resting in bed for a few days will help you deal with the pain associated with the condition. In bed, your crotch area will suffer less stress, reducing pain. Keep your testicles elevated to keep your symptoms at bay.
    • When lying or sitting, placing a towel or rolled shirt below the scrotum can help to reduce discomfort.
  4. Use a cold pack on the area. Applying cold packs to your scrotum will reduce inflammation by decreasing the blood flow. Simply wrap the ice pack in a towel and apply it to the scrotum. Keep it there for about 30 minutes and no longer in order to avoid skin damage.
    • Never apply ice directly to your skin. You can damage your skin, especially in such a sensitive area.
  5. Take a sitz bath to ease the pain. Fill your bathtub with 12–13 inches (30.5–33.0 cm) of warm water, and sit there for about 30 minutes. The warm water will increase the blood flow and help the body fight off the infection. You can do this as often as you need.
    • This treatment is particularly effective for chronic epididymitis.


  • Wear proper support. An athletic supporter will provide a good support for your scrotum, reducing pain. Boxers are typically less supportive than briefs.


  • Refrain from having sex. Avoid intercourse as long as the symptoms are noticeable. Having sex will increase stress in the area, causing more discomfort. Plus, you are still contagious at least a week after beginning treatment if you have an STI.
Users of Guests are not allowed to comment this publication.