What causes chronic epididymitis to flare up?

Epididymitis is most often caused by a bacterial infection, including sexually transmitted infections (STIs), such as gonorrhea or chlamydia. Sometimes, a testicle also becomes inflamed — a condition called epididymo-orchitis.

Is ice or heat better for epididymitis?

Apply either cold or heat to the swollen area, whichever relieves the pain best. Sitting in a warm bath for 15 minutes twice a day will help reduce the swelling more quickly.

Does epididymitis hurt more when sitting?

The pain often radiates (spreads) into your scrotum, groin, thigh and lower back. Sitting for prolonged periods of time may make it worse.

How do you treat chronic testicle pain?

Conservative therapy includes heat, ice, scrotal elevation, antibiotics, analgesics, NSAIDs, antidepressants (doxepin or amitriptyline), anticonvulsants (gabapentin and pregabalin), regional and local nerve blocks, pelvic floor physical therapy, biofeedback, acupuncture, and psychotherapy for at least 3 months.

Is chronic epididymitis serious?

Chronic epididymitis pain is felt only inside the scrotum. It’s less severe than an acute condition. It can be intermittent, may require antibiotics or anti-inflammatory medication or may go away by itself.

How do I get comfortable with epididymitis?

Elevate your scrotum when you sit or lie down to help reduce swelling and pain. You may be asked to do this by placing a rolled-up towel under your scrotum. Scrotal support may be recommended. An athletic supporter provides scrotal support and may make you more comfortable when you stand.

Is epididymitis pain constant?

Most urologists will agree that chronic epididymitis can be unilateral or bilateral; can range from mild, intermittent discomfort to severe, constant pain; can be exacerbated by certain activities, including ejaculation; can be associated with a normal-feeling or enlarged indurated epididymis; and appears to wax and …

What causes long term testicle pain?

The etiology of testicular pain is varied and is frequently idiopathic. Easily recognized and reversible causes include spermatocele, tumor, infection, varicocele, and torsion. Chronic orchialgia has been defined as at least 3 months of chronic or intermittent pain.

Can chronic testicular pain go away?

Chronic Testicular Pain can vary from person to person. Some men with CTP have constant pain, while others have pain that goes away and comes back periodically.