Patient's question:
When I am intimate with my girlfriend, my lower body becomes erect, and there is fluid discharge. My right testicle swells and hurts, and my lower abdomen also feels a bit painful. What is going on?Doctor's answer:
Epididymitis is primarily caused by retrograde infection of the epididymis through the vas deferens from prostatitis or seminal vesiculitis, with hematogenous infection being rare. It is classified into acute and chronic epididymitis. The scrotum often exhibits pain, swelling, and a heavy sensation, with pain potentially radiating to the lower abdomen and the ipsilateral thigh. The affected epididymis becomes enlarged with mild tenderness, clearly demarcated from the testis, and the scrotal skin shows edema and redness. Accompanying symptoms include thickening of the spermatic cord and vas deferens, hardened prostate with fibrous nodules, and other chronic prostatitis manifestations. Bilateral chronic epididymitis can lead to infertility. It is recommended that you visit a hospital for diagnosis to identify the underlying cause and receive targeted treatment.