Patient's question:
I used to masturbate frequently, and it has been about two or three years. I feel that my testicles have suddenly shrunk. The amount of semen has decreased, and its color is also faint. What should I do?Doctor's answer:
Analysis of the Condition: Orchitis is usually caused by bacteria and viruses. The testicles themselves rarely suffer from bacterial infections due to their rich blood and lymphatic supply, which provides strong resistance to bacterial infections. Most bacterial orchitis is caused by inflammation of the epididymis nearby, so it is also known as epididymo-orchitis...Traditional Chinese Medicine (TCM) treatment for acute orchitis generally employs a syndrome differentiation approach. According to urological experts, TCM syndrome differentiation typically classifies acute orchitis into three types:
1. Acute Orchitis with Damp-Heat Accumulation (): Symptoms include fever with chills, testicular swelling and pain, hardness of the testicles, dark red urine, dry stools, a red tongue with greasy yellow coating, and a wiry, slippery, rapid pulse. Treatment focuses on clearing damp-heat and resolving abscesses.
2. Acute Orchitis with Qi Stagnation and Blood Stasis (): Symptoms include gradual testicular enlargement, hardness upon palpation, mild pain, a dark tongue with petechiae, thin white coating, and a wiry, slippery pulse. Treatment focuses on promoting qi circulation and resolving blood stasis.
3. Acute Orchitis with Blood Stasis Obstruction (): Symptoms include testicular swelling and pain after trauma, or redness and heat, with a dark tongue with petechiae and a weak, pulse. Treatment focuses on promoting blood circulation and resolving stasis, as well as alleviating pain.
Advice: The treatment of acute orchitis is not particularly difficult. As long as patients seek medical attention promptly, the efficacy of both Western and TCM treatments is excellent. Therefore, urological experts recommend that patients should identify and treat the condition as soon as possible. Additionally, patients are advised to choose the most appropriate treatment method based on their individual circumstances and to respect their doctor's recommendations.