Epididymitis: Symptoms, Treatment, and Sexual Activity Concerns

Q: Epididymitis: Symptoms, Treatment, and Sexual Activity Concerns

Mr. <br>Mabiash： Hello, you can review the semen analysis report. <br>If there are no bacteria present, then sexual activity is safe and there is no risk of infection. <br>If bacteria are present but you still wish to engage in sexual activity, then it is advisable to use a condo

Epididymitis

Hello, Dr.
Hsu! About half a month ago, I was diagnosed with right epididymitis, and at that time, the epididymis was swollen to three times the size of the left side.
I was hospitalized for treatment and received antibiotics, and I have been discharged for two weeks while continuing to take antibiotics.
The swelling on the right side has decreased somewhat, but the testicle still feels hard to the touch.
I would like to ask if this is normal.
Also, during the treatment period, is it safe to engage in sexual activity?

Mabiashih, 30~39 year old female. Ask Date: 2015/12/24

Dr. Xu Weikai reply Urology

Mr.
Mabiash: Hello, you can review the semen analysis report.
If there are no bacteria present, then sexual activity is safe and there is no risk of infection.
If bacteria are present but you still wish to engage in sexual activity, then it is advisable to use a condom.
In cases of epididymitis, some individuals may not return to their original size, especially those with more severe infections, delayed treatment, or recurrent episodes.
Online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
This message is brought to you by Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2015/12/24

More Info

Hello! Thank you for your question regarding epididymitis, its symptoms, treatment, and concerns about sexual activity.
Epididymitis is an inflammation of the epididymis, which is the tube that stores and carries sperm. It can be caused by various factors, including bacterial infections, sexually transmitted infections (STIs), or even non-infectious causes such as trauma or certain medications. The symptoms typically include swelling and pain in the affected testicle, which can sometimes radiate to the groin. Other symptoms may include redness of the scrotum, fever, and painful urination.

In your case, it seems that you have been diagnosed with right-sided epididymitis and have undergone hospitalization for antibiotic treatment. It's encouraging to hear that the swelling has decreased, but it is not uncommon for the testicle to still feel firm or hard during the recovery process. This hardness can be due to residual inflammation or scarring in the epididymis, and it may take some time for the tissue to return to its normal state. However, if you notice any new symptoms, such as increased pain, fever, or discharge, it is important to follow up with your healthcare provider.

Regarding sexual activity during your treatment, it is generally advisable to avoid sexual intercourse until you have completed your course of antibiotics and have been cleared by your physician. Engaging in sexual activity while still undergoing treatment can potentially exacerbate your condition or lead to complications. Additionally, if your epididymitis is caused by a sexually transmitted infection, it is crucial to avoid sexual contact to prevent transmission to your partner.

Once you have completed your treatment and your doctor has confirmed that the infection has resolved, you can gradually resume sexual activity. It is essential to communicate openly with your partner about your health status and any concerns you may have. If you experience any discomfort or pain during sexual activity after treatment, you should consult your healthcare provider for further evaluation.

In summary, while it is normal for the testicle to feel hard during recovery from epididymitis, it is best to avoid sexual activity until you have completed your antibiotic treatment and received medical clearance. Always prioritize your health and well-being, and do not hesitate to reach out to your healthcare provider with any questions or concerns you may have during your recovery process. Wishing you a smooth and speedy recovery!

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