Inflammation of the epididymis that is the coiled tube on top of the testes is called epididymo-orchitis. The symptoms include swelling, pain, and tenderness in the scrotum, fluid around the testes, blood in semen, painful urination, and fever. Some of the causes are sexually transmitted infections, bacterial infections, trauma, and tuberculosis.

Recently Answered Questions Recently Answered Questions

All the answers published in this website are written by Verified medical doctors, therapists and health experts. The Content has been moderated by iCliniq medical review team before publication. Post your medical clarifications on iCliniq by choosing the right specialty and get them answered. Your medical queries will be answered 24/7 by top doctors from iCliniq.

What is the treatment for epididymo-orchitis?

Query: Hello doctor, I have an epididymo-orchitis infection. I went to the urologist, and he gave me antibiotics, taking it for two months, but the problem still is not going away. What to do in this situation? I am currently on Ciprofloxacin 500 mg, Fosfomycine 3000 mg, and Azithromycin 500 mg.   Read Full »

Dr. Samer S J Altawil


Answer: Hi, Welcome to icliniq.com. Epididymoorchitis is diagnosed mainly on ultrasound. It is a painful condition of the scrotum. It is mainly due to infections in the urinary tray secondary to STD (sexually transmitted disease) or obstruction to the lower urinary system like in the urethra or prostate...  Read Full »

Why does my testicle hurt after sex?

Query: Hello doctor, I am a 28 year old male. I had unprotected sex last week. It was a three-hour long session and I was a little sore afterward but felt totally fine the next few days. Then, three days ago, I noticed a slight pain in my balls and the discomfort has continued until today. It is most pain...  Read Full »

Dr. Praveen Pushkar

Urologist, Andrologist

Answer: Hello, Welcome to icliniq.com. Generally, epididymitis or orchitis is the most common possibility in your scenario. It might be a mild infection. That is the reason there are no other symptoms. You could go for an ultrasound with color Doppler of the testis to confirm it. You will requ...  Read Full »

How to get rid of my severe testicular pain?

Query: Hello doctor, I am a 33-year-old male. My symptoms are testicular pain and tenderness, pain in the groin's left side, sometimes pain in the bladder at the base of the penis. I am feeling like I still need to urinate after passing urine. Previous medications: Nitrofurantoin, Doxycycline, Co-Amoxicl...  Read Full »

Dr. Ankush Jairath


Answer: Hello, Welcome to icliniq.com. It seems to be epididymo-orchitis plus prostatitis. It would be best if you started the following: Take tablet Levofloxacin 500 mg HS for four weeks, Chymoral forte 1-0-1 for four weeks, Septra DS (Trimethoprim and Sulfamethoxazole) twice a day weeks, Alfuzosin ...  Read Full »

What could be the painful swelling on the scrotum with discomfort?

Query: Hello doctor, I am a 30-year-old male. I have swelling in my right scrotum for two days which was painful on the first day but not painful now. But it is causing me discomfort.  Read Full »

Dr. Samer S J Altawil


Answer: Hi, Welcome to icliniq.com. Pain and swelling of the scrotum have few causes. 1. Epididymo-orchitis (inflammation of cord and testis). 2. Torsion twist of cord on its access. 3. Hernia. 4. Skin and scrotal edema. Inflammation of testis or epididymis can be due to urinary infection or sexually...  Read Full »

What causes mild pain in the left groin area and testicle?

Query: Mild pain started last night in left groin area( increases while moving) and mild pain also started in left testicle(not continous but happens sharply while changing body postures or breathing deeply). No nausea, no vomit, no other issues. Male, 20, not on any medications ? ?  Read Full »

Dr. Samer S J Altawil


Answer: Hi and thanks for consulting us Left groin pain radiating to left testicle can be due to left ureteric stone or left epididymoorchitis or left small inguinal hernia. Left ureteric stone is characterized by lion to groin pain some times if the stone in the left lower ureter pain can be from groin r...  Read Full »

Why has my right testicle swollen to the size of a tennis ball?

Query: I am a 55 year old white male height 6' weight 185, just last night I noticed my right testicle had swollen to the size of a tennis ball. Sore to ty he touch. I have no medical insurance. What should I do.  Read Full »

Dr. Samer S J Altawil


Answer: Hi and thank you for consulting us Painful swelling in scrotum mainly caused by epididymoorchitis ( inflammation of Testis and epididymis) it cause swelling and pain it’s mainly caused by sexual transmitted infection or urinary obstruction like enlargement of prostate or stricture in urethra and ...  Read Full »

Are my testicles paining due to testicular torsion?

Query: I have to severe pain in my testicles lately. But I know I did 3 scam about a week ago, It says Testicles is fine and normal testicular blood flow. Everything is normal from the 3 Doppler Scrotal Scan Result. About 4 days, I notice that, my testicles at the right is always facing another direction. ...  Read Full »

Dr. Samer S J Altawil


Answer: Hi Thanks for consulting me Sever testicular pain most common differential diagnosis is epididymoorchitis and torsion is the ultrasound confirmed good blood flow it means at the time of the scan no torsion it might be epididymoorchitis ( inflammation ) which is mild that time it can be intermittent...  Read Full »

Why do I get dull testicular pain while standing for a while?

Query: Hello doctor, My left testicle has a dull ache when I stand for a period of time. I can also see an enlarged vein on my testicle. It goes away when I sit or lay down for a little bit. I will attach a picture of the vein.  Read Full »

Dr. Ankush Jairath


Answer: Hello, Welcome to icliniq.com. I think it is a hernia. Kindly give some other details. Do it have cough impulse (it means the swelling expands upon coughing, it is said to have a cough impulse). Can you get over the swelling? (this means when swelling is there are you able to pinch your spermatic ...  Read Full »

Why does the cyst in my testicle become large while putting pressure on it?

Query: Hello doctor, When I am trying to pass stools my testicles get really big, also there is a cyst in my right testicle. Besides this, I have pain in my lower back. What is your advice to get the cyst killed and get back to normal? If necessary, I can send photos. Please help.  Read Full »

Dr. Prathish Kumar

General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. With the history you have told, it seems like a hydrocele or an inguinal hernia with extension into the scrotum. If possible do send the pictures for a better idea. And also answer these questions. Do you suffer from constipation? Any abdominal pain? Any fever? Any iss...  Read Full »

Is there any concern with one testis being longer than the other?

Query: Hello doctor, I have pain on both of my testicles but the pain is more focused on the left. I did blood and urinary tests, ultrasound and CT scan but all were negative. I do not have the pain in the same way it was but then I feel like it is a little longer than my right and also heavy. What c...  Read Full »

Dr. Sandip Pramanik


Answer: Hello, Welcome to icliniq.com. I have gone through your queries. You have bilateral testicular pain, discomfort, and heaviness. And all investigations are within the normal limits. It would have been great if you had uploaded those reports. However, do not worry. If USG testis with Doppler study...  Read Full »

ask-doctor-img Ask a Doctor Online

* guaranteed answer within 4 hours
Chat with a Doctor

Chat with a Doctor

Starting @ just $29.99

Search for a Health Issue


Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.