Chronic Orchitis
Hello doctor, I recently found a hard lump on my testicle.
After examination, the doctor said it is chronic orchitis.
Is this a sexually transmitted infection (STI)? (I only have one sexual partner.) Also, can chronic orchitis be transmitted? What is the likelihood of transmission if there is only genital contact without penetration, just external rubbing? If it can be transmitted, what symptoms might the female partner exhibit to indicate that she has been infected? I'm really worried and hope you can help me.
Jiù jiù wǒ, 20~29 year old female. Ask Date: 2005/07/25
Dr. Xu Weikai reply Urology
Help me: Hello, orchitis is generally an inflammation of the testicles caused by a bacterial infection.
The likelihood of infection exists, but it is not high.
Standard treatment typically requires at least 4 to 6 weeks, and sometimes antibiotic treatment may extend to 12 weeks, depending on the type of bacteria involved.
In females, infections usually present with symptoms such as cystitis, vaginitis, or increased vaginal discharge.
Urology Department Chief, Dr.
Hsu Wei-Kai, responds on behalf of the Taitung Hospital of the Ministry of Health and Welfare, expressing concern for you.
Reply Date: 2005/07/25
More Info
Chronic orchitis is an inflammation of the testicles that can result from various causes, including infections, trauma, or autoimmune conditions. It is important to clarify that chronic orchitis itself is not classified as a sexually transmitted infection (STI), although it can be associated with infections that are sexually transmitted, such as mumps or certain bacterial infections.
In your case, since you mentioned having a single sexual partner, the risk of transmission largely depends on the underlying cause of the orchitis. If the inflammation is due to a viral infection like mumps, it is contagious, but this is less common in adults due to widespread vaccination. If it is caused by a bacterial infection, it may or may not be contagious depending on the specific bacteria involved.
Regarding your concern about whether chronic orchitis can be transmitted through external genital contact (such as rubbing without penetration), the likelihood is generally low. Most STIs require direct contact with bodily fluids or mucous membranes for transmission. However, if the underlying cause of the orchitis is an STI, then there is a potential risk, albeit small, especially if there are open sores or lesions involved.
If your partner were to contract an infection that led to orchitis, the symptoms could vary. In women, symptoms of a sexually transmitted infection might include unusual vaginal discharge, pelvic pain, fever, or painful urination. However, not all infections present with noticeable symptoms, which is why regular screenings and open communication with your partner about sexual health are crucial.
It is essential to follow up with your healthcare provider for a thorough evaluation and possibly further testing to determine the specific cause of your chronic orchitis. This may include blood tests, imaging studies, or cultures to identify any infectious agents. Treatment will depend on the underlying cause and may involve antibiotics if a bacterial infection is identified.
In summary, while chronic orchitis itself is not contagious, the underlying causes may be. It is crucial to communicate with your partner and consult with a healthcare professional for appropriate testing and management. Regular check-ups and being informed about sexual health can help alleviate concerns and ensure both you and your partner remain healthy.
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