Impact of Sexual Activity on Epididymitis and Varicocele Conditions - Urology

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Varicocele


Hello doctor, I recently visited a urologist and the examination results showed epididymitis and mild varicocele.
I am currently undergoing medication treatment.
I would like to ask if engaging in sexual activity under these conditions could worsen my condition?

Dan Tou, 20~29 year old female. Ask Date: 2021/09/16

Dr. Du Shixi reply Urology


Hello: It's best to avoid it, and if it occurs, safe sex should be practiced.
Wishing you good health.

Reply Date: 2021/09/16

More Info


Epididymitis and varicocele are two conditions that can significantly impact male reproductive health. Understanding their relationship with sexual activity is crucial for managing symptoms and preventing complications.

Epididymitis is an inflammation of the epididymis, often caused by infections, sexually transmitted infections (STIs), or non-infectious factors such as trauma or autoimmune conditions. Symptoms typically include pain and swelling in the scrotum, discomfort during urination, and sometimes fever. Sexual activity can potentially exacerbate the symptoms of epididymitis, especially if the underlying cause is an infection. Engaging in sexual intercourse may lead to increased discomfort or pain due to the physical activity involved. Additionally, if the epididymitis is caused by an STI, sexual activity could risk transmitting the infection to a partner or worsening the infection in the affected individual.

Varicocele, on the other hand, is characterized by enlarged veins within the scrotum, similar to varicose veins in the legs. It can lead to discomfort, a feeling of heaviness in the scrotum, and may affect fertility by impacting sperm production and quality. Sexual activity itself is generally not known to worsen varicocele conditions directly. However, if the varicocele is causing significant discomfort, sexual activity might be uncomfortable or painful.

In your case, since you are currently undergoing treatment for both conditions, it is essential to consider the following:
1. Consult Your Healthcare Provider: Before engaging in sexual activity, it is advisable to discuss your specific situation with your healthcare provider. They can provide personalized advice based on the severity of your conditions and the treatment you are receiving.

2. Listen to Your Body: If you experience increased pain or discomfort during or after sexual activity, it may be a sign to reduce or modify your sexual activity until your symptoms improve.

3. Avoid High-Risk Activities: If your epididymitis is due to an infection, it is crucial to avoid sexual activity until you have completed your treatment and received clearance from your healthcare provider to prevent spreading the infection.

4. Monitor Symptoms: Keep track of any changes in your symptoms related to sexual activity. If you notice that your symptoms worsen after sexual intercourse, it may be beneficial to limit such activities until your conditions are better managed.

5. Consider Alternative Forms of Intimacy: If sexual intercourse is uncomfortable, consider exploring other forms of intimacy that do not exacerbate your symptoms.

In summary, while sexual activity may not directly worsen varicocele, it can potentially aggravate the symptoms of epididymitis, especially if an infection is present. It is essential to communicate openly with your healthcare provider about your symptoms and treatment plan to ensure a safe and healthy approach to sexual activity during your recovery.

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