Who's at Risk? Understanding the Factors Behind Acute Epididymitis
Published: Jan 07, 2024
Acute epididymitis doesn't strike at random. Certain factors can increase your chances of developing this painful condition. But what are they?
Contents
Age and Sexual Activity
Age plays a significant role in the risk of epididymitis. Young, sexually active men are more likely to get epididymitis caused by sexually transmitted infections (STIs) like chlamydia or gonorrhea. On the other hand, older men and those who aren't sexually active are more prone to epididymitis caused by urinary tract infections or other non-STI related causes. Sexual practices also matter - men who engage in unprotected sex or have multiple partners are at higher risk for STI-related epididymitis.
Urinary Tract Issues
Problems with the urinary tract can increase the risk of epididymitis. An enlarged prostate, common in older men, can obstruct urine flow and increase the chance of infection. Other conditions that affect urination, like kidney stones or a neurogenic bladder (where nerve problems affect bladder control), also raise the risk. Recent urinary tract procedures or catheterization can introduce bacteria, potentially leading to epididymitis.

Other Medical Conditions
Certain medical conditions can make you more susceptible to epididymitis. Men with HIV or other conditions that weaken the immune system are at higher risk. Some autoimmune diseases can cause inflammation in the epididymis. Rarely, epididymitis can be a complication of mumps in adult men. Structural abnormalities of the urinary tract or reproductive system can also increase risk.
Frequently Asked Questions
Prolonged cycling may irritate the area but doesn't directly cause infection.
No, but some risk factors like prostate enlargement can run in families.
Stress doesn't directly cause it, but can weaken immunity.
Risk is more related to behavior and health conditions than ethnicity.
Key Takeaways
Understanding your risk factors can help you take steps to prevent epididymitis or catch it early.
Concerned about your risk for epididymitis? Reach out to Doctronic to discuss your individual risk factors and prevention strategies.Related Articles
References
Trojian TH, et al. Epididymitis and orchitis: an overview. Am Fam Physician 2009; 79:583.
Tracy CR, et al. Diagnosis and management of epididymitis. Urol Clin North Am 2008; 35:101.
Always discuss health information with your healthcare provider.