A 22-year-old male asked:
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assuming the bacteria is unknown, which would be better to take cipro (ciprofloxacin) or levaquin for bacterial orchitis not caused by an std?

1 doctor answer
Dr. Hunter Handsfield
52 years experience Infectious Disease
Not much difference: Slight nod to levofloxacin, but they cover pretty much the same bacteria. Most non-STD epididymitis at your age is not bacterial, so antibiotics may not help. How certain is the diagnosis? If you just have testicular pain without obvious enlargement or tenderness, I would be suspicious you don't have true epididymitis. Maybe chronic pelvic pain syndrome? (Google it, excellent Wikipedia article.)
Answered on Mar 26, 2018
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Dr. Hunter Handsfield
52 years experience Infectious Disease
Provided original answer
In reply to your follow-up message: I'm not making a diagnosis of CPPS or anything else, or that you don't have real and perhaps serious testicular disease, with or without atrophy. But for sure a urologist can sort this out. Find one then put your trust in his or her diagnosis. You're never going to get clear answers to this problem from an online forum like this one or any other. Good luck.
Jan 24, 2016

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