Patient's question:
Right testicle causing epididymitisDoctor's answer:
The scrotum of a man contains two testicles, but in addition to the testicles, there are also two epididymides. The epididymides are a pair of long, flat organs that are attached to the lower end of the spermatic cord along with the testicles. They grow closely adjacent to the testicles and are divided into three parts: head, body, and tail. The head is connected to the testicle, while the tail is attached to the vas deferens. The epididymis serves as both a necessary passageway for sperm and a "cradle" for the development and maturation of sperm.Epididymitis is also a common disease among young and middle-aged adults. Whenever the body's resistance is low, pathogenic bacteria such as E. coli, staphylococcus, and streptococcus take advantage of the opportunity to invade the epididymis through the vas deferens, causing inflammation. Therefore, this condition often follows conditions such as posterior urethritis, prostatitis, and seminal vesiculitis.
Medical Advice:
When suffering from acute epididymitis, sexual activity should be avoided. Since the epididymis is in a state of congestion and edema due to inflammation, sexual intercourse can cause widespread congestion in the penis, worsening the swelling of the epididymis and hindering the resolution of the inflammation. Sexual activity should only be gradually resumed after the epididymitis has been fully cured. During the initial stages, the frequency of sexual intercourse should not be too high. Epididymitis is prone to recurrence because bacteria in the delicate and winding epididymal ducts are difficult to eliminate completely. If sexual activity is excessive, the bacteria may resurface, leading to a recurrence. However, it is also important not to completely abstain from sex out of fear of recurrence. Long-term abstinence can cause sperm to accumulate in the epididymis, keeping it in a state of fullness, which can similarly cause congestion. In summary, whether the condition is acute or chronic, it is essential to undergo thorough treatment for epididymitis and engage in sexual activity moderately. This can help prevent recurrence.
Individuals with chronic epididymitis generally have little to no impact on sexual function. However, prolonged inflammation can cause the epididymis to harden. During sexual intercourse, when ejaculation reaches its climax, the epididymis and vas deferens contract to expel sperm, which can cause pain. This pain may sometimes persist for a while after intercourse, potentially interfering with sexual quality.