[Question #2635] Epididymitis
95 months ago
|
Hello, I have a question about epididymitis. I was recently diagnosed with this after some pain and burning in my testicles. I am a 48 year old bi male with very limited sexual activity; I am responsible, clean and tested up until now and very active physically. I'm not in a relationship now and I limit myself to a mutual masturbation session on average 1-2x yr maybe. I did so last week with a guy who said he was clean. It involved kissing, touching, cuddling and very limited skin-to-skin contact, and I masturbated in a towel. I realize there are some risks to this but overall very low. Then a few days later came some pain and burning in my testicles but no pain when urinating nor is there any discharge. Worried, I went to a clinic this morning (not my usual PCP) and explained this to them and the diagnosis was epididymitis and they gave me an antibiotic, cipro. Reading about this, it says in guys <35, the cause is usually due to chlamydia or gonorrhea, which scares me (have never had either of those). I tested recently for HIV just to be safe and it was ok but wondering if I need to test for chlamydia and gonorrhea too. I do my best to be safe and responsible, but very worried about it.
![]() |
Edward W. Hook M.D.
95 months ago
|
Welcome to our Forum. I'll be pleased to comment but do not want to second guess the physician who diagnosed you as having epididymitis - he/she had the advantage of being able to examine you, something that I cannot do. Testicular pain can be caused by several things including epididymitis which is typically diagnosed based on the presence of testicular tenderness. As you have learned, in men less than 35 (or 40 in some text) it is most often an STI while as persons get a bit older, urinary tract infections become a more important cause. In men with STI-related epididymitis a urethra discharge is typically present although on some occasions chlamydia or gonorrhea may be present without urethral symptoms. In your specific case, mutual masturbation and cuddling are not risky activities for acquisition of any STI, making it less likely that your infection reflects an STI. In most persons being evaluated for epididymitis, it would be appropriate to both test for gonorrhea and chlamydia as well as to perform a urine culture to try to determine the causative bacteria. For non-STI epididymitis, Cipro is a reasonable drug to give but it would not be the right drug for STI-related infection. Were tests taken at the time you were diagnosed? Is follow-up scheduled (typically epididymitis would show substantial improvement after 3 or 4 days of therapy). EWH
---
---
95 months ago
|
Thanks for the reply, Dr. Hook. No additional tests were taken during the visit, but they did refer me to a urologist for evaluation for prostatitis.
![]() |
Edward W. Hook M.D.
95 months ago
|
Thanks for the additional information. At this point the best thing to do is to watch for improvement on antibiotics and follow-up with the urologist, particularly if you have not improve substantially in a few days. EWH---