Patient's question:
The doctor prescribed clarithromycin to be taken. I have been on it for three days now, but it seems like my symptoms haven't improved. I don't know if this medicine is effective. It's really a headache. Also, how can I prevent the recurrence of orchitis after it has occurred?Doctor's answer:
Hello! Epididymitis is often caused by retrograde infection of the epididymis from prostatitis or seminal vesiculitis along the vas deferens, with hematogenous infection being rare. It is divided into acute epididymitis and chronic epididymitis. The scrotum often experiences pain, swelling, and a heavy sensation, with pain potentially radiating to the lower abdomen and the same side of the thigh. The affected epididymis becomes enlarged with mild tenderness, clearly demarcated from the testis, and the scrotal skin swells and turns red. Accompanying symptoms include thickening of the spermatic cord and vas deferens, hardening of the prostate with fibrous nodules, and other chronic prostatitis manifestations. Bilateral chronic epididymitis can lead to infertility. It is recommended that you visit a regular hospital for examination to confirm the diagnosis and receive timely treatment. Urological expert 20