Is the swollen and painful epididymis epididymitis?

Patient's question:

Scrotal swelling and pain, don't know what's wrong, please help the doctor answer, is it epididymitis? Is the swollen and painful epididymis epididymitis?

Doctor's answer:

Epididymitis is a common non-specific infectious disease in the male reproductive system, more prevalent among middle-aged and young adults. It can be classified into acute epididymitis and chronic epididymitis based on the course of the disease. When various reasons lead to a weakened immune resistance, pathogens can take advantage of the opportunity to infiltrate the epididymis, causing inflammation. It is characterized by sudden pain in the scrotal area, swelling of the epididymis, significant tenderness, and may be accompanied by fever, epididymal hardening, etc. Inflammation of the epididymis can affect sperm maturation, increasing its fertilization capability; inflammation can also lead to blockage of the epididymal ducts, impairing the long-distance attack of sperm. These factors can all result in clinical diagnosis of infertility.

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