How to treat epididymitis?

Patient's question:

Sexual activity has been ongoing for twenty years, without any sexual activity during that time. I have seen many doctors during this period. At the age of 19, I was diagnosed with prostatitis. After seeing a doctor, they prescribed some medication. After taking it, the condition improved, so I didn't pay much attention to it. At that time, I was in the midst of final exams and was under a lot of pressure. There were constraints on sexual activity, but I didn't give it up. During college, I saw many doctors, who mostly just prescribed medication without solving the problem. Some doctors said it was nothing. Recently, for the past two months, I have been diagnosed with epididymitis. I took cephalexin, but the effect was not significant. Currently, I am using rest as a way to alleviate the pain. My general health condition is average, and I feel dizzy when I take afternoon naps at night. How should it be treated?

Doctor's answer:

Recurring symptoms like the one you mentioned should be considered as potential prostatitis, with a higher possibility of also having epididymitis. Both conditions require treatment with anti-inflammatory measures. It is recommended that you consult a urologist, undergo scrotal ultrasound and routine prostatic fluid examination, and then use appropriate anti-inflammatory medications based on the examination results. Additionally, pay attention to personal hygiene and avoid spicy and irritating foods.

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