What is the reason for a slightly sore testicle?

Patient's question:

My husband said that his testicles have been a bit sore these days. What could be causing the soreness in the testicles?

Doctor's answer:

The testicles are slightly sore, which may be due to orchitis, epididymitis, inflammation inside the scrotum, and the possibility of varicocele. Orchitis, except for hematogenous infection, is more commonly caused by bacteria retrograding from the urethra to the epididymis and testicles, leading to epididymitis and orchitis. Sometimes the pain recurs after sexual activity, which may be due to the high congestion of the genitalia and genital glands caused by sexual arousal. You can take anti-inflammatory medications, such as roxithromycin capsules, wear loose underwear, eat a light diet, and avoid spicy and irritating foods.

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