Testicular Discomfort: Is It Epididymitis? - Urology

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Testicular issues


Hello, doctor: Recently, I've been feeling some discomfort and swelling in my testicles.
Could it be epididymitis? Do I need to go to the hospital for an examination?

Niming, 10~19 year old female. Ask Date: 2018/08/25

Dr. Du Shixi reply Urology


Hello: It is advisable to seek medical examination.
Wishing you good health.

Reply Date: 2018/08/25

More Info


Testicular discomfort can be concerning, and it's important to understand the potential causes and when to seek medical attention. Epididymitis, which is the inflammation of the epididymis (the tube that carries sperm from the testicle), is indeed one of the common causes of testicular discomfort. Symptoms of epididymitis can include swelling, pain, and tenderness in the testicle or the area around it, as well as possible fever and discharge from the penis if an infection is present.

There are several factors to consider when evaluating whether your discomfort may be due to epididymitis or another condition. First, consider the nature of your symptoms. Is the discomfort localized to one testicle or both? Is there swelling, redness, or warmth in the area? Have you experienced any urinary symptoms, such as pain during urination or increased urgency? Additionally, any history of recent sexual activity, particularly with new partners, or any history of urinary tract infections could be relevant.

Epididymitis can be caused by various factors, including bacterial infections (often sexually transmitted infections like chlamydia or gonorrhea), urinary tract infections, or even non-infectious causes such as trauma or certain medications. In some cases, it can also be associated with conditions like testicular torsion, which is a medical emergency and requires immediate attention.

If you are experiencing significant discomfort, swelling, or any other concerning symptoms, it is advisable to seek medical evaluation. A healthcare provider can perform a physical examination, which may include checking for tenderness in the testicles and surrounding areas. They may also order tests such as a urinalysis, ultrasound, or cultures to determine the underlying cause of your symptoms.

In summary, while your discomfort could be due to epididymitis, it is essential to have a proper evaluation to rule out other potential causes, including more serious conditions. If your symptoms persist or worsen, or if you experience severe pain, fever, or any other alarming symptoms, do not hesitate to seek medical attention promptly. Early diagnosis and treatment can help prevent complications and ensure a better outcome.

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