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 as acute epididymitis or chronic epididymitis. The scrotum often exhibits pain, swelling, and a sense of heaviness, with the pain potentially radiating to the lower abdomen and the same side of the inner thigh. The affected epididymis becomes enlarged, with mild tenderness, and is clearly demarcated from the testis. The scrotal skin may appear edematous and red. Accompanying symptoms include thickening of the spermatic cord and vas deferens, as well as 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.