Inflammation of the epididymis


Inflammation of the epididymis also known as epididymitis. This condition is the inflammation or swelling of the coiled tube (epididymis) at the back of the testicle which stores and carries sperm out of the body. Men of any age can experience epididymitis but it is most frequently diagnosed in men aged 14 through 35.

A number of causes

While the swelling could be caused by a number of things, most often doctors find a bacterial infection or a sexually transmitted infection (STI). Gonorrhea or Chlamydia are the most common STIs which cause this disorder. Sometimes no specific source for the problem can be identified.


Symptoms will depend on the cause of the swelling. They might include a tender, swollen, red or warm scrotum. Testicle pain may be present on one side and could become worse during a bowel movement. Often painful urination will occur. Intercourse and ejaculation may also be painful. As with any infection, chills and fever may present along with enlarged lymph nodes, especially in the groin. Occasionally there will be a discharge from the penis and/or blood in the semen.

Usually symptoms will take a day or two to fully develop. Treatment may clear up the symptoms completely or they may recur depending on the source of the problem. Chronic epididymitis is the recurring condition.

Treat immediately; damage may be permanent

Scrotal pain and swelling is never normal and a doctor should be seen as soon as possible to determine the source of the problem and begin treatment. Some conditions can get worse can cause permanent damage including infertility.

Related conditions

When the testicle becomes inflamed, that condition is called epidiymo-orchitis. Testicular torsion is caused by a twisted spermatic cord and may be confused with epididymitis. This condition requires immediate treatment since it can cut off blood flow to the testicle.

Source: Mayo Clinic


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