Is it possible to get chronic pain in testicles due to chlamydia?

Hello doctor,

I am waiting on an initial appointment with my urologist but wanted to get some more insight into conditions I may have if possible. For the past 8 months I have experienced chronic, dull and sometimes mildly sharp pain in the testicles that seem to be the result of a chlaymidia infection I left untreated for a year before this. When I first contracted the STD, I experienced penile discharge and painful urination until those symptoms went away on their own. After that I experienced an itchy feeling in the scrotum for a few months until it became an achy tender feeling in the right testicle and shortly after in the left. Late last year, I finally went to seek treatment and received a round of azithromycin to treat the infection but it did not do much to relieve the pain. After this, I began a 10-day treatment of Doxycycline and while it did relieve the pain and tenderness, shortly after I finished off that round of antibiotics the pain and tenderness came back. After this I tried a 20 day treatment of Doxycycline to about the same effect.

I can feel the epididymis gets swollen at random times especially after ejaculation. Ejaculation also sometimes results in extra pain in the testicles or epididymis. I have found pain relief in wearing supportive underwear and taking Ibuprofen. I have also noticed it is more difficult to get and maintain an erection. Also, while I do not notice pain in the prostate, there seems to be less force behind my urination and sometimes I have a weak stream. While I believe this started with an initial chlaymidia infection, I have recently tested negative on a urinalysis for chlaymidia, along with gonnorhea and trichomoniasis and I have not been sexually active since that test. Based on the information provided, does it seem to indicate chronic epididymitis? Is it possible a bacterial infection remains in my epididymitis or testicles even with a negative uranalysis for these STDs? Could there be other complications also contributing to these symptoms? Also, is it possible that this infection has already caused permanent, irreversible damage to the epididymis, testicles or other systems related to it due to the length of the infection or otherwise? Should I be concerned with fertility issues? Also, how likely is there to be permanent solution to these issues I have stated?

Hi doctor,

Thanks for your prompt and detailed reply. Just to clarify, is this the possible treatment I should seek for the pain I feel in my testicles as well? As this is where I feel the majority of my pain and irritation.