Recurring Epididymitis: Symptoms and Management

Q: Recurring Epididymitis: Symptoms and Management

Hello： You may need to visit the urology department at the hospital for an examination, as the recurrence of epididymitis can cause swelling again, and it is not significantly related to ejaculation. <br>2) What you are feeling may likely be the epididymis. <br>3) It is unlikely

Epididymitis recurrence?

Hello Doctor, I am a patient with epididymitis, specifically on the right side, and it has been three months so far.
I still have some unclear questions regarding my condition.

1.
Sometimes, the right testicle suddenly becomes more swollen; it doesn't hurt, but it feels uncomfortable.
After ejaculation, the right epididymis often becomes enlarged again.
Is it common for epididymitis to recur after ejaculation (I maintain hygiene and do not engage in sexual intercourse), or could it be that my masturbation technique is incorrect? Is it possible that a shorter foreskin makes it easier to irritate the glans and lead to infection?
2.
When I feel uncomfortable, I often notice a lump above the testicle.
Is that an enlarged epididymis?
3.
Recently, my right testicle has become swollen again, but it doesn't hurt; it just feels heavier and is pressing on the thigh nerve, which is quite uncomfortable.
Is this a symptom of chronic epididymitis? Should I see a doctor again, or will it resolve on its own?

Nìmíng, 20~29 year old female. Ask Date: 2017/07/11

Dr. Du Shixi reply Urology

Hello: You may need to visit the urology department at the hospital for an examination, as the recurrence of epididymitis can cause swelling again, and it is not significantly related to ejaculation.
2) What you are feeling may likely be the epididymis.
3) It is unlikely to resolve on its own, so you should seek medical attention from the urology department at the hospital.
Wishing you good health.

Reply Date: 2017/07/11

More Info

Epididymitis, particularly recurrent epididymitis, can be a challenging condition to manage, especially when it persists for an extended period, as in your case. Let's address your concerns one by one.

1. Recurrent Epididymitis and Ejaculation: It is not uncommon for individuals with a history of epididymitis to experience discomfort or swelling in the epididymis after ejaculation. This can be due to several factors, including inflammation that has not fully resolved or irritation of the epididymis during sexual activity. Even if you are maintaining good hygiene and are not engaging in sexual intercourse, the mechanics of ejaculation can still cause discomfort if there is underlying inflammation. If you suspect that your method of masturbation might be contributing to the issue, consider adjusting your technique to see if that alleviates discomfort. A shorter foreskin can sometimes lead to irritation, but it is essential to consult a healthcare provider for a thorough evaluation.

2. Lump Above the Testicle: The lump you are feeling above the testicle could indeed be the epididymis itself, which can become enlarged or swollen during episodes of inflammation. The epididymis is a coiled tube that sits at the back of the testicle and is responsible for storing and maturing sperm. If it is swollen, it may feel like a lump. However, it is crucial to differentiate between normal anatomical structures and potential pathological changes. If the lump persists or changes in size, it is advisable to seek medical attention for further evaluation.

3. Symptoms of Chronic Epididymitis: The heaviness and pressure you are experiencing in the testicle, along with the sensation of it being "heavier," could be indicative of chronic epididymitis. Chronic epididymitis can present with intermittent discomfort, swelling, and a feeling of fullness in the affected testicle. While some cases may resolve on their own, it is essential to monitor your symptoms closely. If the swelling persists, worsens, or if you develop new symptoms such as pain, fever, or changes in urination, you should definitely consult a healthcare provider. They may recommend imaging studies, such as an ultrasound, to assess the condition of the epididymis and rule out other potential issues, such as a testicular torsion or a hernia.

In terms of management, recurrent epididymitis may require a multifaceted approach. This can include:
- Antibiotic Therapy: If there is a bacterial infection, a course of antibiotics may be necessary. Chronic cases may require prolonged treatment.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort.

- Supportive Care: Wearing supportive underwear can help alleviate discomfort and provide support to the affected area.

- Lifestyle Modifications: Avoiding activities that exacerbate symptoms, such as prolonged sitting or heavy lifting, may be beneficial.

In conclusion, while some cases of epididymitis can resolve on their own, persistent or recurrent symptoms warrant further evaluation by a healthcare professional. It is essential to address any concerns you have with your doctor, who can provide personalized advice and treatment options based on your specific situation. Regular follow-ups can help ensure that any underlying issues are identified and managed appropriately.

Similar Q&A

Recurrent Epididymitis: Causes, Diagnosis, and Fertility Concerns

Hello doctor, I have discomfort in my testicles after having unprotected oral sex. I visited a clinic at the end of August, and the doctor diagnosed me with epididymitis. I was prescribed Cephalexin antibiotics, and after recovery, it recurred three weeks later. I took another th...

Dr. Du Shixi reply Urology
Hello: 1) Epididymitis, based on outpatient experience, the lump takes a long time to resolve, usually several months before it gradually softens and decreases in size. However, if there is tenderness, it is often indicative of a recurrence. A urine test and culture can help iden...

Understanding Chronic Epididymitis: Symptoms, Treatment, and Fertility Concerns

Hello, I developed symptoms in September 2014. After receiving injections and taking antibiotics, I recently had an ultrasound last month, which indicated that I have epididymitis on the left side. Despite receiving intravenous treatment and medication, my condition has not impro...

Dr. Xu Weikai reply Urology
Xiao Liang: Hello, a diagnosis of chronic epididymitis is made when symptoms persist for more than six months without signs of bacterial infection. If epididymitis becomes chronic, it may result in permanent enlargement, but severe pain is uncommon; instead, there may be mild dis...

Recurrent Epididymitis: Causes, Treatment Duration, and Antibiotic Choices

Hello Doctor, I had epididymitis in August and was treated with cephalexin antibiotics until I fully recovered. However, it has recurred, and this is the third time now. I would like to ask: 1. Is the recurrence due to not completing the treatment course? 2. In your experience, h...

Dr. Xu Wencang reply Urology
During the follow-up examination, it may be suspected that a young male has epididymitis caused by Neisseria gonorrhoeae. There may have been previous symptoms of acute urethritis, and the consideration of using a third-generation antibiotic is advised.

Chronic Epididymitis: Effective Treatments and Related Urinary Issues

Hello doctor, I would like to ask what methods can effectively treat chronic epididymitis? I have tried both heat therapy and elevating the area, but neither has been very effective. Previous examinations showed no bacterial infection, so I haven't taken antibiotics. It has ...

Dr. Du Shixi reply Urology
Hello: Although you have sought medical attention for your issues, if they persist and occur frequently, it is important to consult a larger hospital for further examination, especially regarding testicular and urinary problems. It seems that lifestyle habits may be contributing ...