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Urology/Orchitis and Epididymitis - Some questions

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Question
Hi. I started feeling some pain in my left testis 6 days ago. The day after, it was much better, and I forgot about it. The day after (4 days ago), it came back. I went to the doctor and was diagnosed with orchitis and epididymitis. The left testis started to swell. I started medicating that same day, and I'm on the fourth day of my treatment with Cipro. Yesterday, my right testis became swollen as well. The entire scrotum is now swollen, but the pain is getting better. If I stay in my bed the entire day, it doesn't hurt at all. It only hurts when I walk or sit for some minutes.

However, I'm still very worried. I need to know about these questions, which I forgot (actually, was embarrassed) to ask my doctor:

1) Can I become infertile after this?
2) Can I have erectile dysfunction for the rest of my life because of this?
3) Can I ejaculate while still in treatment? I don't feel any pain while urinating. Does this means that I will not feel any pain while ejaculating, or maybe I will? Will it be very bad for my treatment if I do this?

Answer
Sergio:

Yes, if epididymitis affects both testicles, it can cause infertility by blocking sperm passage.

It is also possible to have ED afterwards, but this would be extremely rare and unusual.

Ejaculation is still possible during treatment.

Just because you have no pain during urination does not necessarily mean that ejaculation will be painless.

Ejaculation is not likely to cause any significant harm to the treatment at this point.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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