Patient's question:
I am a male, 28 years old, and have no bad habits. However, I was recently diagnosed with orchitis. Now, I feel constant pain in my testicles, and sometimes I also have high fever. I am really troubled now. Could you please tell me: How is it best to treat orchitis?Doctor's answer:
1. Orchitis. Orchitis, apart from hematogenous transmission, is more commonly caused by bacteria traveling retrograde from the urethra to the epididymis and testes, leading to epididymitis and orchitis. Clinical diagnosis is evident in the swelling and pain of the epididymis and testes.2. Intense sexual activity. First, consider whether the sexual activity was too vigorous or forceful, causing intense contraction of the cremaster muscle, which then leads to the repositioning of an excessively long testicle and results in severe testicular pain.
3. Testicular injury. Testicular injury, along with local swelling and blood clots, can also cause testicular pain after sexual activity.
4. Testicular torsion. Testicular torsion is one of the common acute emergencies in the scrotum, with 65% occurring in individuals aged 12–19. It typically occurs hours before the onset, often after intense exercise or external force on the testicle. Sudden severe testicular pain may arise during deep sleep or quiet rest.