Well I didn't think I would ever be back on here but I am

I had 2 brief oral exposures msm many months ago

On your advise -mainly my paranoia- I got tested for clam and gon in the first week in Jan approx 4 weeks ago and the brief oral was 7 to 10 weeks ago

Never had any symptoms of stds 

No discharge, no pain urinating etc

To this day I have no symptoms of anything down there  

My job is construction and very hard and I'm getting older  60

Last week I ached all over after a hard week, particularly in my groin area

I went back to work Monday this week and by this past Wednesday I felt a bad pain in my right testicle 

I felt it and it ha become enlarged

It was painful and swollen and was very hard on the bottom

I first say a Dr and he examined me

And said it could be a cyst

He sent me to urinology department and they told me that it could be epididymitis and asked me if I were sexually active     I said yes but only with my wife

They gave me ciprofloxasin and took blood tests

I googled epididymitis- which I have never heard of before - and it said its caused by a std of which me and my partner have zero symptoms 

They just called me for a scan and it sounds urgent

Please help

My heart dropped 

Forgot to put that in 

Your symptoms indeed are typical for acute epididymitis, i.e. testicular infection. In men over age 35, most cases are due to common UTI type bacteria like E. coli and similar organisms -- and the older one is, the more likely such bacteria are the cause and STDs unlikely. At age 60, the possibility of an STD as the cause is very low. It seems you've been misled by your online searching. STDs definitely are rare as the cause at your age. And as discussed with Dr. Hook, absence of urethral discharge and painful urination are solid evidence you didn't have gonorrhea; and chlamydia is almost never acquired by oral sex. So although I understand your concern given the timing not long after your oral sex event, that's all it is -- a coincidence.

You don't mention diagnostic tests for infection. Did your urologist not order at least a urine test for UTI bacteria? For reassurance, you also could have had a urine test for gonorrhea and chlamydia:  as already noted, there is no realistic chance of an STD as the cause of your epididymitis, but I think you will agree it would be reassuring for you to know you tested negative. If you had been honest about your sexual exposure, probably the initial doctor and/or the urologist would have tested for them. You still can do that, because although ciprofloxacin is good treatment for most UTI bacteria, it doesn't work at all against chlamydia and is unreliable against gonorrhea. So a test for them still would be valid. If done, you can expect a negative result.

We are not experts in the urologic aspects of epididymitis. Most likely the reason for the "scan" (CT scan? ultrasound?) is to be sure the epididymitis isn't developing into an abscess. This is something to discuss with the urologist. In the meantime, despite the coincidence in timing, I am very confident this problem has absolutely nothing to do with the oral sex events several weeks ago.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

As I had never heard of epididymitis, I was taken aback by the fact it could be a std

But the thing that intrigues me is that although I had a swollen and painful testicle and I surely did have epididymitis, how come if I did have a uti    I didn't have any pain or discharge from penis

Makes no sense

Thanks

But just wanted to ask

They took a blood test about 3 days ago

Would that show up any infections

Sorry to bother you  and thank you for your time

I have enjoyed this exchange, but this completes the two follow-up exchanges included with each question and so ends this thread. I'm sure your urologist will be able to answer any ongoing questions or concerns you may have about your epididymitis. Good luck and best wishes.