How should I treat epididymitis at age 25?

Hi doctor,

I am a 25-year-old male with dull pain in my right testicle. I am around 76.77 inches tall and weigh 220 pounds. Ten years ago, an ultrasound was performed to rule out torsion or the presence of any mass, a urine test to check for UTIs and STDs, and I was diagnosed with epididymitis. I have been prescribed Ciprofloxacin for treatment, and I am unsure if it is working efficiently. Some days I feel good, and then some days, the dull ache is back.

However, I have noticed that there seems to be a vein that starts from the bottom of my testicle and then travels slightly up the front (not epididymis). It is not moving freely as it is actually on the inside of my testicle. It is soft and squishy, and when an erection happens, it gets hardened, and somewhat of a ridge forms on the front of my testicle. Once the erection is gone, the ridge goes away, and the vein goes back to being squishy.

Is this normal with a testicle?

I have heard of varicoceles, but I thought they were only for the veins in the scrotum and not actually on the inside of a testicle. I feel like most of my pain results from me pressing that vein as my anxiety is getting the better of me. I would appreciate any feedback.

Please help.

Thank you.

Hello doctor,

Thank you for the response.

1. Can a varicocele be present inside or on the actual testicle?
2. My doctor just prescribed me more Ciprofloxacin. How will I go about getting him to prescribe the antibiotics you listed?
3. If the vein is the cause of the pain, what are the solutions I can do to get this fixed?

Please help.

Thank you.