What's Causing That Pain Down There? Understanding Acute Epididymitis
Published: May 31, 2024
Acute epididymitis is a common cause of scrotal pain in men. But what exactly is it, and how can you recognize the symptoms?
Contents
What is Acute Epididymitis?
Acute epididymitis is inflammation of the epididymis, a tube at the back of the testicle that stores and carries sperm. It typically causes pain and swelling on one side of the scrotum that develops over several days. The pain is usually worst at the back of the testicle. In some cases, the testicle itself may also become inflamed.
What Causes It?
Acute epididymitis is usually caused by an infection. In sexually active men, especially younger guys, it's often due to sexually transmitted infections like chlamydia or gonorrhea. For men who aren't sexually active, especially older men, it's more likely to be caused by bacteria from a urinary tract infection. Risk factors include recent urinary tract procedures, enlarged prostate, or other conditions that affect urine flow.

Recognizing the Symptoms
The main symptom is gradual onset of pain on one side of the scrotum, which may be swollen and tender. You might also have pain when urinating, a frequent urge to pee, or discharge from the penis if you have a related urinary tract or sexually transmitted infection. Fever and feeling generally unwell can occur in more severe cases. If you have sudden, severe scrotal pain, especially with nausea or vomiting, seek immediate medical attention as this could indicate a more serious condition like testicular torsion.
Frequently Asked Questions
It can be if caused by a sexually transmitted infection.
Rarely, if left untreated or if it recurs frequently.
Symptoms usually improve within 3 days, but full recovery can take weeks.
No, only men have an epididymis.
Key Takeaways
While uncomfortable, acute epididymitis is usually easily treated with prompt medical care.
If you're experiencing scrotal pain or swelling, don't hesitate to discuss your symptoms with Doctronic for personalized advice and guidance.Related Articles
References
Workowski KA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep 2021; 70:1.
Trojian TH, et al. Epididymitis and orchitis: an overview. Am Fam Physician 2009; 79:583.
Always discuss health information with your healthcare provider.