Overview
Epididymitis (ep-ih-did-uh-MY-tis) is an inflammation of the coiled tube, called the epididymis, at the back of the testicle. The epididymis stores and carries sperm. Males of any age can get epididymitis.
Epididymitis is most often caused by a bacterial infection, including sexually transmitted infections (STIs), such as gonorrhea or chlamydia. Sometimes, a testicle also becomes inflamed — a condition called epididymo-orchitis.
Epididymitis is usually treated with antibiotics and measures to relieve discomfort.
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Symptoms
Symptoms of epididymitis might include:
- A swollen, discolored or warm scrotum
- Testicle pain and tenderness, usually on one side, that often comes on slowly
- Pain when you pass urine
- An urgent or frequent need to urinate
- Discharge from the penis
- Pain or discomfort in the lower abdomen or pelvic area
- Blood in the semen
- Less commonly, fever
Chronic epididymitis
Epididymitis that lasts longer than six weeks or that happens over and over again is considered chronic. Symptoms of chronic epididymitis might come on slowly. Sometimes the cause of chronic epididymitis isn’t able to be found.
When to see a doctor
Don’t ignore scrotal pain or swelling. This can be caused by a number of conditions. Some of them need treatment right away to avoid permanent damage.
If you have severe pain in the scrotum, seek emergency treatment. If you have discharge from your penis or pain when you pass urine, see a health care provider.
