How is epididymitis generally treated

Patient's question:

Right scrotum has a hard lump, feels like the epididymis, causes pain when lightly pressed, feels heavy and full when standing, accompanied by radiating dull pain in the right groin, and a burning sensation during urination. Two months ago, there were symptoms of white discharge, yellow semen, and signs of blood clots.

Doctor's answer:

Epididymitis is a common disease among young and middle-aged adults. Patients may experience local discomfort, a sense of heaviness and distension, or scrotal pain, which can also radiate to the lower abdomen and the inner side of the same thigh. If the condition is not taken seriously in its early stages and lacks standardized treatment, chronic epididymitis can lead to azoospermia (no sperm), severe oligospermia (low sperm count), or even infertility. Additionally, it can transmit the infectious bacteria to close relatives, potentially causing gynecological diseases.
The traditional methods for treating epididymitis include the use of antibiotics, blood-activating medications, and surgical drainage. Antibiotics and blood-activating medications can provide temporary pain relief, but they only treat symptoms without addressing the root cause. Moreover, long-term oral administration can lead to bacterial resistance, and the side effects are significant.

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