It is hard to say whether acute epididymitis is caused by infection alone as there is no way to take a culture or other ways to prove it but since it responds to antibiotics they are used. It can be caused by trauma too
Answered 11/2/2021
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Most epididymitis is caused by infection, and at your age STIs are by far the most common causes, especially chlamydia and gonorrhea. Injury to a testicle can cause similar symptoms, but probably not epididymitis itself. Physical "strain" from heavy lifting was once thought to be a cause, but rarely if ever. Non-STI urinary infections do it, but mostly in men over 30.
Answered 11/6/2021
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