Epididymitis
Hello, doctor.
I was diagnosed with epididymitis two weeks ago, and I have been taking antibiotics for about 10 days.
During a physical examination at the clinic, the doctor pressed on a specific point that was particularly painful.
I would like to ask how long I need to take antibiotics for epididymitis to fully recover? Is it possible that I have testicular cancer that was misdiagnosed? If it were testicular cancer, what would the physical examination feel like?
D, 10~19 year old female. Ask Date: 2021/07/12
Dr. Du Shixi reply Urology
Hello: Orchitis generally takes more than two weeks to resolve.
It's important to pay attention to lifestyle habits, as a small number of individuals may experience recurrence.
As for testicular cancer, it is quite different from inflammation, and antibiotics are ineffective, with the mass continuing to grow.
Wishing you good health.
Reply Date: 2021/07/12
More Info
Epididymitis is an inflammation of the epididymis, a coiled tube located at the back of the testicle that stores and matures sperm. It can be caused by various factors, including bacterial infections, sexually transmitted infections (STIs), or even non-infectious causes such as trauma or chemical irritation. The treatment for epididymitis typically involves antibiotics, especially if a bacterial infection is suspected.
In your case, having been on antibiotics for about ten days, it is important to note that the duration of antibiotic treatment for epididymitis can vary depending on the underlying cause. Generally, a course of antibiotics may last from 10 to 14 days, but in some cases, it may be extended to 21 days, especially if the infection is severe or if there are complications. It is crucial to follow up with your healthcare provider to assess your response to the treatment and determine if any adjustments are necessary.
Regarding your concern about testicular cancer, it is understandable to be anxious about such possibilities, especially when experiencing pain or discomfort in the area. Testicular cancer typically presents as a painless lump or swelling in the testicle. However, if there is pain, it is often associated with other conditions, such as epididymitis or testicular torsion. In the case of testicular cancer, the lump is usually firm and does not move freely, and it may not be tender to the touch. If you are experiencing significant pain at a specific point during palpation, it is more indicative of inflammation or infection rather than cancer.
To alleviate your concerns, it is advisable to discuss your symptoms and any worries about cancer with your healthcare provider. They may recommend further diagnostic tests, such as an ultrasound of the scrotum, which can help differentiate between epididymitis and other conditions, including tumors. An ultrasound is a non-invasive imaging technique that can provide valuable information about the structure of the testicles and surrounding tissues.
In summary, the duration of antibiotic treatment for epididymitis can vary, but it typically lasts between 10 to 21 days. If you have concerns about testicular cancer, it is essential to communicate openly with your healthcare provider, who can perform the necessary evaluations and provide reassurance or further investigation if needed. Remember, early diagnosis and treatment are key to managing any health condition effectively.
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