How is epididymitis generally treated?

Patient's question:

For a while now, my testicles have been slightly swollen with a dull ache. Recently, they've started to hurt, especially when touched, and it's particularly severe. It seems the other side is also somewhat swollen. I'm very worried. Could you please tell me: How is epididymitis generally treated?

Doctor's answer:

Hello, the use of appropriate antimicrobial drugs for acute epididymitis should be continued until symptoms completely disappear, followed by additional medication for 4 to 5 days. For chronic epididymitis, it is necessary to take medication for 2 to 3 weeks to consolidate the therapeutic effect. Cold compresses should be frequently applied to the scrotum. Men who stand or walk excessively are advised to wear a cloth scrotal support. Avoid excessive sexual activity to increase blood flow to the genital organs. Additionally, abstain from drug use and smoking, and reduce the intake of spicy, acidic, and other irritating foods to prevent local congestion in the epididymis. Active treatment is required to avoid interference with future fertility. The condition of epididymitis is prone to recurrence, necessitating long-term medication. Moreover, for male patients, it is essential to actively seek diagnosis from professional and reputable hospitals and consider treatment based on examination results. Pay attention to a proper diet, avoid sexual activity, and finally, wish all patients a speedy recovery.

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