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Contents
  • What is Acute Epididymitis?
  • What Causes It?
  • Recognizing the Symptoms
  • Diagnosis and Treatment

What's Causing That Pain Down There? Understanding Acute Epididymitis

What's Causing That Pain Down There? Understanding Acute Epididymitis

The Painful Truth

Acute epididymitis is a common cause of scrotal pain in men. But what exactly is it, and how can you recognize the symptoms?
Contents
  • What is Acute Epididymitis?
  • What Causes It?
  • Recognizing the Symptoms
  • Diagnosis and Treatment

What is Acute Epididymitis?

Acute epididymitis is inflammation of the epididymis, a tube at the back of the testicle that stores and carries sperm. It typically causes pain and swelling on one side of the scrotum that develops over several days. The pain is usually worst at the back of the testicle. In some cases, the testicle itself may also become inflamed.

What Causes It?

Acute epididymitis is usually caused by an infection. In sexually active men, especially younger guys, it's often due to sexually transmitted infections like chlamydia or gonorrhea. For men who aren't sexually active, especially older men, it's more likely to be caused by bacteria from a urinary tract infection. Risk factors include recent urinary tract procedures, enlarged prostate, or other conditions that affect urine flow.
Acute epididymitis is the inflammation of the epididymis, often causing pain and swelling in the scrotum. It is typically caused by infections such as sexually transmitted infections or bacteria from urinary tract infections.

Recognizing the Symptoms

The main symptom is gradual onset of pain on one side of the scrotum, which may be swollen and tender. You might also have pain when urinating, a frequent urge to pee, or discharge from the penis if you have a related urinary tract or sexually transmitted infection. Fever and feeling generally unwell can occur in more severe cases. If you have sudden, severe scrotal pain, especially with nausea or vomiting, seek immediate medical attention as this could indicate a more serious condition like testicular torsion.

Diagnosis and Treatment

Doctors diagnose acute epididymitis based on symptoms and physical examination. They may also order urine tests or swabs to check for infections. Treatment usually involves antibiotics to clear the infection. Pain relievers, ice packs, and supportive underwear can help manage discomfort. Most cases improve within a few days of starting treatment, though swelling can take several weeks to fully resolve.

FAQs

Is epididymitis contagious?

It can be if caused by a sexually transmitted infection.

Can epididymitis affect fertility?

Rarely, if left untreated or if it recurs frequently.

How long does recovery take?

Symptoms usually improve within 3 days, but full recovery can take weeks.

Can women get epididymitis?

No, only men have an epididymis.

Is surgery ever needed?

Rarely, if an abscess forms or symptoms persist despite treatment.

The Bottom Line

While uncomfortable, acute epididymitis is usually easily treated with prompt medical care.
If you're experiencing scrotal pain or swelling, don't hesitate to discuss your symptoms with Doctronic for personalized advice and guidance.
Additional References
  1. Workowski KA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep 2021; 70:1.
  2. Trojian TH, et al. Epididymitis and orchitis: an overview. Am Fam Physician 2009; 79:583.
  3. Tracy CR, et al. Diagnosis and management of epididymitis. Urol Clin North Am 2008; 35:101.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.