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What Are the First Signs of Epididymitis?

12/03/2025
in Male Infertility
can trauma cause infertility in males

can trauma cause infertility in males

Epididymitis is a condition that affects the male reproductive system. It occurs when the epididymis, a coiled tube at the back of the testicle, becomes inflamed. This structure is responsible for carrying and storing sperm. When it becomes swollen, it can cause pain and discomfort.

The condition can affect males of all ages, though it is more common in men between 18 and 35 years old. It may develop due to bacterial infections, including sexually transmitted infections (STIs) like chlamydia and gonorrhea. In some cases, urinary tract infections (UTIs) and prostate infections can lead to epididymitis.

Recognizing the early signs of epididymitis is important. The sooner treatment begins, the better the chances of recovery without complications. This article will explore the first signs of epididymitis and how they may progress.

Early Symptoms of Epididymitis

Pain and Tenderness in the Testicles

One of the first signs of epididymitis is pain in one or both testicles. This pain may start as mild discomfort and gradually worsen. It is usually felt on one side, but in some cases, both testicles may be affected. The area may also be tender to the touch. Some men describe the sensation as aching or throbbing pain.

Swelling of the Scrotum

Swelling is another common early symptom. The scrotum may appear larger than usual due to inflammation. The skin might also look red or feel warm to the touch. In some cases, the swelling may cause difficulty in walking or sitting.

A Heavy Feeling in the Scrotum

Some men report a feeling of heaviness or fullness in the scrotum. This can happen due to fluid buildup and inflammation in the area. The sensation may increase as the swelling worsens.

Painful Urination

Since epididymitis is often linked to bacterial infections, it can cause painful urination. This symptom may feel like a burning or stinging sensation when passing urine. It can be a sign that the infection has spread to the urinary tract.

Frequent Urination

Some men may feel the urge to urinate more often than usual. This happens when the infection affects the bladder or nearby structures. The increased frequency can be accompanied by discomfort.

Additional Symptoms That May Develop

Discharge from the Penis

In cases where epididymitis is caused by an STI, there may be a discharge from the penis. The discharge can be white, yellow, or green in color. It may have an unpleasant smell. This symptom is more common when chlamydia or gonorrhea is the cause.

Blood in the Semen

Some men notice blood in their semen, a condition called hematospermia. The blood may appear as small red or brown streaks. This can be alarming, but it is a sign of inflammation or infection in the reproductive system.

Lower Abdominal or Pelvic Pain

Pain is not always limited to the testicles. Some men experience discomfort in the lower abdomen or pelvic region. This pain may be dull and persistent, increasing as the infection spreads.

Fever and Chills

If the infection worsens, the body may react with fever and chills. A fever is the body’s way of fighting an infection. This symptom suggests that the inflammation has become more serious.

General Fatigue

In some cases, men with epididymitis feel tired or weak. This happens when the body is using energy to fight off the infection. Fatigue may come with muscle aches and a general feeling of being unwell.

When to See a Doctor

Persistent or Severe Pain

If the pain in the testicles becomes severe or does not go away, medical attention is necessary. Ignoring the symptoms can lead to complications.

High Fever

A high fever, especially with chills and sweating, may indicate a serious infection. This requires immediate medical care.

Swelling That Gets Worse

If swelling in the scrotum increases rapidly, it could be a sign of a more serious issue, such as testicular torsion. Testicular torsion is a medical emergency and must be treated quickly.

Painful Urination or Blood in Urine

If urination becomes increasingly painful or blood appears in the urine, a doctor should be consulted. These signs may suggest a worsening infection.

Discharge That Does Not Improve

If there is discharge from the penis that does not improve, a sexually transmitted infection might be present. A doctor can perform tests and provide the right treatment.

Conclusion

Epididymitis is a condition that can cause significant discomfort. The first signs often include pain, swelling, and tenderness in the testicles. Other symptoms, such as painful urination, discharge, and fever, may also develop. Recognizing the early signs and seeking medical help can prevent complications.

If you experience any of these symptoms, it is important to see a doctor as soon as possible. Treatment usually involves antibiotics and pain relief. In most cases, men recover fully with proper care. By being aware of the symptoms, you can take steps to protect your reproductive health.

Related topics:

Can Epididymitis be Linked to Kidney Infections?

What Are the Early Warning Signs of Epididymitis?

Can Men with Epididymitis Still Father Children?

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