How is epididymo-orchitis typically managed?

Question

Hi doctor,

I am a 25-year-old male and have been experiencing erectile dysfunction for nearly three years. My sex drive fluctuates, and it seems to be related to the quality of my semen. On some days, I have a strong sex drive and achieve a firm erection, and my semen is healthy, rich white with a normal amount. However, on other days, when I struggle with achieving an erection and have a low sex drive, my semen has a slight yellow tint. Additionally, during these times, my penis is not fully erect and lacks sensitivity and arousal.

I have had issues with anxiety in the past, but I have since recovered. Despite this, my erectile dysfunction has neither improved nor worsened. This issue began three years ago. Over the past year, I have also been experiencing occasional throbbing pain in the vas deferens, though it is difficult to pinpoint the exact area. The pain extends from near my testicles to my abdomen and sometimes includes slight discomfort in the prostate area. The pain is noticeable but manageable. I realize I should seek a medical evaluation, but I would appreciate an opinion from a doctor first.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Your descriptions are quite accurate. The appearance of semen can vary depending on how frequently you masturbate. If you masturbate twice a week, it may appear white, while if you do it once every ten days, it might look yellowish. Additionally, based on the symptoms you have described, it seems you might have epididymo-orchitis. You should seek an examination by an andrologist or urologist as soon as possible, as you will likely need antibiotics for three to six weeks, depending on the doctor’s clinical assessment. This condition is often associated with prostatitis and may require prolonged treatment and proper follow-up to prevent recurrence. After completing the treatment, you can evaluate your erectile function.

I hope this helps you.

Thank you.