What is the reason for chronic epididymitis to develop from one side to both sides?

Patient's question:

Is the probability of chronic epididymitis expanding from one side to both sides significant over time, or is it inevitable? My epididymitis recurred and became chronic, and it has been almost a year now. From the initial noticeable swelling and pain to now, where there are almost no particularly obvious symptoms (the lump has always been there and hasn’t disappeared). Recently, I’ve had a cold and felt a bit uncomfortable, and suddenly became emotional. I have a few questions: Once epididymitis has expanded to both sides, is the probability of it becoming bilateral very high, or is it certain that it will eventually become bilateral? If symptoms appear on the right side (I’m currently on the left), is it always chronic, or is there a possibility that it could start as acute and be cured with acute treatment measures?

Doctor's answer:

You can go to the TCM department of a regular hospital for further cooperation in TCM treatment. The lump of chronic epididymitis can only be surgically removed (when necessary). Generally speaking, will chronic epididymitis reappear on the opposite side? It is not inevitable; only a small number of patients may experience inflammation on the opposite side. For patients with epididymitis, timely treatment can reduce recurrence. If not treated in time, it may affect fertility. Therefore, patients should take timely symptomatic treatment and avoid overwork in daily life, paying attention to personal hygiene.

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