Is Your Epididymitis Recurring After Stopping Medication? - Urology

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Epididymitis medication has been discontinued?


Previously, my right epididymis swelled, and I received treatment from a urologist.
I took medication for four weeks, and the doctor said I could stop the medication.
However, after two weeks, I noticed pain again, but it doesn't feel as swollen as it did before treatment.
Could this be a recurrence?

Niming, 20~29 year old female. Ask Date: 2020/04/08

Dr. Du Shixi reply Urology


Hello: If it hurts a lot or if there are any issues, you should return for a follow-up appointment.
Wishing you good health.

Reply Date: 2020/04/08

More Info


Epididymitis is an inflammation of the epididymis, often caused by bacterial infections, sexually transmitted infections, or other underlying conditions. When you mention that you were treated for epididymitis for four weeks and were advised by your doctor to stop the medication, it is essential to understand that while the initial treatment may have resolved the acute symptoms, there can be instances where the condition recurs or persists in a different form.

In your case, the fact that you noticed pain in the right epididymis two weeks after stopping medication could suggest a few possibilities. First, it may indicate a recurrence of the epididymitis, albeit less severe than before. This could happen if the initial infection was not entirely eradicated or if there was a reinfection. It is also possible that the inflammation has not fully resolved, leading to lingering discomfort or pain.

Another consideration is the possibility of chronic epididymitis, which can occur after an acute episode. Chronic epididymitis may present with less intense symptoms but can still cause discomfort and pain. Factors that contribute to chronic epididymitis include anatomical abnormalities, ongoing infections, or even non-infectious causes such as trauma or autoimmune conditions.

It is crucial to monitor your symptoms closely. If you experience increased pain, swelling, or any other concerning symptoms, it is advisable to return to your healthcare provider for further evaluation. They may recommend additional tests, such as a urine culture or imaging studies, to determine the underlying cause of your symptoms. Depending on the findings, your doctor may suggest a different course of treatment, which could include a longer duration of antibiotics, anti-inflammatory medications, or other interventions.

In summary, while it is possible that your symptoms indicate a recurrence of epididymitis, it is essential to consult with your healthcare provider for an accurate diagnosis and appropriate management. They can help determine the best course of action based on your specific situation and medical history. Remember, timely intervention can prevent complications and help you achieve better health outcomes.

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