Patient's question:
Last year while working the night shift, I suddenly felt severe pain in my testicles. The next day, I went to see a doctor who diagnosed me with epididymitis. After taking azithromycin, the pain subsided. It has recurred twice since then, and each time, taking azithromycin again helped. However, this time it has come back, and it feels different from before. At first, I only felt some pain, but later it was just a sensation of heaviness without pain. I want to ask, what is the worst-case scenario if this continues? How should I be treated now?Doctor's answer:
Treatment of epididymitis. Erythromycin, doxycycline, clindamycin, and other antibiotics that easily diffuse into the male reproductive tract should be selected. After the symptoms of the acute phase subside, medication should be continued for 4-5 days. In chronic cases, treatment should be extended for 2-4 weeks to consolidate the therapeutic effect. Elevating the scrotum, applying local cold compresses, refraining from sexual activity, avoiding smoking, alcohol, and spicy foods, and preventing congestion are all effective measures.