Epididymitis: Causes and Concerns for Young Men - Urology

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Severe testicular pain?


I once experienced sudden pain in the lower side of my testicle for no apparent reason.
There was another instance when I was masturbating and applied pressure to my testicles (leaning forward while sitting in a chair) for over ten minutes, which also led to pain.
When I consulted a doctor, they diagnosed it as epididymitis.
Could you explain why the epididymis becomes inflamed? Is it related to individual constitution, or is it common among adolescent males?

Ben Xiaohai, 10~19 year old female. Ask Date: 2002/04/13

Dr. Liu Jianting reply Urology


It's not that serious, right? If it were epididymitis, there would be symptoms of redness, swelling, heat, and pain due to inflammation, and in severe cases, there could even be a fever.
If none of these symptoms are present but the pain persists for several hours, it could be due to testicular torsion, which requires immediate consultation with a urologist.
If neither of these conditions applies and the pain is temporary during sexual arousal, it may be caused by the contraction of the spermatic cord, which can be a normal response for some individuals.
If you have any concerns, please consult a urologist for an examination.

Reply Date: 2002/04/13

More Info


Epididymitis, or inflammation of the epididymis, is a condition that can affect men of all ages, including young men. Understanding the causes and concerns surrounding this condition is crucial for effective management and prevention.


Causes of Epididymitis
Epididymitis can be caused by a variety of factors, including infections, trauma, and anatomical abnormalities. The most common infectious causes are sexually transmitted infections (STIs) such as chlamydia and gonorrhea, particularly in sexually active young men. However, non-sexually transmitted infections can also occur, often due to urinary tract infections (UTIs) or bacterial infections that spread from the bladder or prostate.

In your case, the sudden pain in the lower part of the testicle could be attributed to several factors:
1. Infection: As mentioned, bacterial infections are a leading cause of epididymitis. If you have had any recent sexual activity, especially unprotected intercourse, it’s important to consider the possibility of STIs.

2. Trauma: Physical trauma, such as the pressure applied during certain positions while masturbating, can lead to inflammation. The epididymis is sensitive, and excessive pressure can cause irritation or injury, leading to pain and inflammation.

3. Anatomical Factors: Some individuals may have anatomical variations that predispose them to conditions like epididymitis. For instance, a history of urinary tract infections or other urogenital issues can increase susceptibility.

4. Age and Hormonal Changes: During puberty, hormonal changes can lead to increased sexual activity and susceptibility to infections. Young men are often more active sexually, which can increase the risk of exposure to pathogens.


Concerns for Young Men
For young men experiencing symptoms of epididymitis, it is essential to seek medical attention. Symptoms may include:
- Pain and swelling in the testicles or scrotum
- Redness or warmth in the affected area
- Pain during urination or ejaculation
- Discharge from the penis
Ignoring these symptoms can lead to complications, such as chronic pain, infertility, or the spread of infection.

Prevention Strategies
To reduce the risk of developing epididymitis, consider the following preventive measures:
1. Safe Sexual Practices: Always use condoms during sexual intercourse to reduce the risk of STIs. Regular STI screenings are also recommended for sexually active individuals.

2. Good Hygiene: Maintaining proper genital hygiene can help prevent infections. This includes regular washing and ensuring that any cuts or abrasions are kept clean.

3. Avoiding Trauma: Be mindful of positions during sexual activity or masturbation that may put excessive pressure on the testicles. If you experience pain, it may be wise to adjust your technique.

4. Regular Check-ups: If you have a history of urinary tract infections or other urogenital issues, regular check-ups with a healthcare provider can help monitor your health and catch any potential issues early.


Conclusion
In summary, epididymitis can occur due to various factors, including infections, trauma, and anatomical predispositions. Young men, particularly those who are sexually active, should be aware of the symptoms and seek medical attention if they experience pain or discomfort in the testicular area. Practicing safe sex, maintaining good hygiene, and being cautious about physical trauma can help prevent this condition. If you have ongoing concerns or recurrent symptoms, it is advisable to consult with a healthcare professional for a thorough evaluation and appropriate management.

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