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Doctor insights on: Epididymo Orchitis

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Dr. Michael Pins
171 doctors shared insights

Orchitis (Definition)

Inflammation of one or ...Read more


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Why won't my epididymo-orchitis clear up?

Why won't my epididymo-orchitis clear up?

May need more time: This condition is uncomfortable and can be difficult to get rid of. It often takes 3-6 weeks of antibiotics. If that hasn't worked, I would suggest a scrotal Ultrasound to look for other causes. Good luck, Dr. Long ...Read more

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How is epididymo-orchitis treated mostly?

How is epididymo-orchitis treated mostly?

Antibiotivs or surge: If it is caused by sexually transmitted disease such as gonorrhea, antibiotics and also treat sexual partner /partners. No sex until after treatment. If chronic condition from previous untreated std's and scarring, may require surgical removal. If chronic infections, epidydiectomy and possible orchiectomy may have to be done. ...Read more

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Wondering why won't epididymo-orchitis clear up?

Wondering why won't epididymo-orchitis clear up?

May be...: Did you have a painful swelling testis which subsided after treatment? Now, you have lingering pain/ache. Or is your diagnosis just based on the in the testis? So, it's important to figure out what is the condition for you by analyzing the feature, degree, and progress of the pain and swelling over time and their sequence of event by expert so to deduce why it is hard to clear up. Best wish... ...Read more

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Why is my epididymo-orchitis taking so long to cure?

Why is my epididymo-orchitis taking so long to cure?

Epididymoorchitis: typically, it takes quite a while for epididymoorchitis to resolve. It often takes up to six weeks of antibiotic therapy. ...Read more

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What to do if I have epididymo orchitis.how long does it takes to cure?

What to do if I have epididymo orchitis.how long does it takes to cure?

Here are some ...: Clinically, from epididymitis to epididymo-orchitis is a process of full spectrum, usually resulting from the extension of bacterial UTI or STD-related urethritis to epididymis then to testis if Rx doesn't effectively take place. How soon may a "cure" occur? That would depend on how the bacterial virulence and the degree of infection / inflammation, and antibiotic effectiveness. So, ask Doc timely ...Read more

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What are epididymitis, orchitis and epididymo-orchitis?

What are epididymitis, orchitis and epididymo-orchitis?

Infection: These are infections of the structures within the scrotum, the testis (orchitis), the tubular structure adjacent to the testis (epididymitis), or both (epididymo-orchitis). In young men these infections are often sexually transmitted, like chlamydia. Older men usually are infected with gram negative bacteria that may also cause urinary tract infections. ...Read more

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Can Cefuroxime 500mg twice/day treat epididymo-orchitis?

Can Cefuroxime 500mg twice/day treat epididymo-orchitis?

Not the best choice: If due to bacteria sensitive to the cephalosporin antibiotics, cefuroxime should work fine. But knowing this requires a urine cuture with antimicrobial susceptibility testing if positive. If such testiing hasn't been done, this is a poor antibiotic choice. Normally a fluoroquinolone, e.g. levofloxacin. Or if under age 35, ceftriaxone + doxycycline for likely chlamydia or gonorrhea. ...Read more

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Could it be healthy to masterbate with epididymo-orchitis?

Could it be healthy to masterbate with epididymo-orchitis?

No, ...: Masturbation wouldn't affect general health even though epididymo-orchitis is healing as long as you're comfortable. Of note, most men would not potentially irritate their body while feeling discomfort. So, you decide, but still consult your local doc as needed. Best wish ... ...Read more

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Can epididymo-orchitis cause the affected testicle to temporarily get smaller, ride higher - particularly when tired or after hot shower, etc?

Possible : Epididymitis usually causes pain and swelling but can cause firmness it is usually treated with antibiotics if it does not improve a visit with a urologist and an ultrasound may be indicated. ...Read more

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Is meropenem an effective antibiotic for epididymo-orchitis?

Is meropenem an effective antibiotic for epididymo-orchitis?

Probably OK, but...: Meropenem would cover most bacteria that cause epididymo-orchitis, especially in older men, who are likely to be infected with typical urinary tract infection bacteria like E. coli and others. However, the most common cause in younger men (below age 35) is chlamydia. which may not respond to this antibiotic. If young or at risk for STD, be sure you are tested for chlamydia and gonorrhea. ...Read more

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Can chronic masturbation like 3 to 4 times a day for month cause epididymo orchitis ?. I think so because I had this without any infection.

Can chronic masturbation like 3 to 4 times a day for month cause epididymo orchitis ?. I think so because I had this without any infection.

Here are some ...: Clinically & apparently, you let sex overindulgence & obsession rein and ruin your life. To gain self-control? Stop masturbation and give your overrun body a break /rest for self-repairing toward optimal functional recovery. How soon this can be? It may vary and time/patience is best medicine at this time. But if the condition fails to improve as expected and wished, seek timely professional help. ...Read more

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Is Cefpodoxime 200mg twice per day suitable for treating epididymo-orchitis? No sexual history and I have problems with quinolones.

Is Cefpodoxime 200mg twice per day suitable for treating epididymo-orchitis? No sexual history and I have problems with quinolones.

Yes, ...: Cefpodoxime is a third-generation cephlosporin, working well for uncomplicated UTI and gonorrhea; so, most likely, it will work well for you, but it is nice to know the selection of antibiotics for epididymo-orchitis is based on experience and assumption if no genito-urinary bacteria could be identified from urine or urethral specimen. So, take it and see. If not working as expected, reassessed. ...Read more

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Can a person have Epididymo orchitis if he masturbates a lot? I think so because I had this without any infection, as I never had sex. Possible?

Can a person have Epididymo orchitis if he masturbates a lot? I think so because I had this without any infection, as I never had sex. Possible?

Doubtful: Epididimytis is normally a bacterial infection and best to see your doctor if you are having persistent testicular symptoms. Good luck. ...Read more

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25 m.Got uti.After that my right testicle started to swell n pain.It was epididymo orchitis.Aftr meds. The pain has gone but painless swelling isnt.

25 m.Got uti.After that my right testicle started to swell n pain.It was epididymo orchitis.Aftr meds. The pain has gone but painless swelling isnt.

See answer : The usually course of epididymo-orchitis, once treatment has begun, is that the pain and discomfort usually resolve or markedly improve within the first 2-3 weeks of antibiotics but reduction in swelling takes much longer usually in the range of 6-12 weeks and sometimes never quite returns to its pre-infection size. ...Read more

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I had serious epididymo-orchitis in May end. The medicines were over long back. However, it still pains at the top-back of testis. Ultrsnd showed pus.

I had serious epididymo-orchitis in May end. The medicines were over long back. However, it still pains at the top-back of testis. Ultrsnd showed pus.

Ask your doc...: Asking your treating doc would be best and fastest to get definite answer since the finding of any tests including scrotal US should be correlated with the ongoing clinical progress and evolution so to decide when and how to initiate intervention such as surgery to drain the pus (abscess). To enhance your effort to work with doc, peruse articles in http://www.formefirst.com/eNewsletter06.html. ...Read more

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I have hard slightly swollen testicles both roughly the same size and firmness I have recently been treated for epididymo-orchitis is this different ?

I have hard slightly swollen testicles both roughly the same size and firmness I have recently been treated for epididymo-orchitis is this different ?

Question unclear: Following epididymo-orchitis you may have residual post-inflammatory changes. Whether this is unusual in you would have to be determined by the urologist that treated you. Go back and have them examine you. ...Read more