What are the common treatments for epididymitis?

Patient's question:

This situation has been going on for a while. I feel like there's something inside my testicles, and they are red and swollen. But because it's that private area, I'm not really comfortable going to the doctor. I did some research and think it might be testicular inflammation. Could you please tell me: What are the common treatments for epididymitis?

Doctor's answer:

Treatment for epididymitis. It is necessary to use antibiotics that can easily diffuse and penetrate the male reproductive tract, such as erythromycin, doxycycline, and clindamycin. After the symptoms of the acute phase subside, medication should still be used for 4-5 days. In the chronic phase, it should be maintained for 2-4 weeks to ensure the effectiveness of the treatment. Supporting the scrotum, local cold compresses, abstaining from sexual activity, avoiding smoking, alcohol, and spicy foods, and preventing blood from rushing are all effective measures. For patients with epididymitis, timely treatment can reduce the incidence of the disease. If it is not treated promptly, it may affect fertility. Therefore, patients should take medication promptly according to their symptoms and maintain regular sexual activity in daily life to avoid prolonged sitting. Wishing you a speedy recovery.

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