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Post-Epididymitis Concerns

7/9/2025, 7:50:24 AMMale25-34

I am a 21-year-old male from India. Approximately two months back, I experienced discomfort in my right testicle accompanied by a low-grade fever. Upon examination, my doctor suspected it was epididymitis and prescribed a week-long course of Ofloxacin, Doxycycline, and Diclofenac, which alleviated the pain. However, I've since observed that my testicles hang notably lower than before, especially on the left side. I underwent an abdominal and pelvic ultrasound, which returned normal findings. Additionally, the scrotal Doppler test, conducted while I lay down and performed the Valsalva maneuver, revealed no signs of varicocele, hydrocele, or blood circulation problems. The doctor mentioned only the presence of a small amount of physiological fluid, which was deemed typical. Now, two months later, I no longer experience sharp pain, swelling, or urinary complications. Nevertheless, I still have a slight dull ache in my left testicle that can extend to my lower back, particularly noticeable in the evenings. My scrotum appears more relaxed, with the left side hanging considerably lower. Occasionally, I notice fine greenish veins on the surface of the scrotum. Some individuals I’ve encountered online suggest that this may be indicative of a mild subclinical varicocele, which might not always be apparent on Doppler imaging, or residual inflammation from the previous epididymitis, which could take several months to completely resolve. There are also opinions that at my age, it may be normal for the scrotum to hang lower as a means of regulating testicular temperature. I am curious to know: - Has anyone experienced similar effects post-epididymitis? - Did your testicles eventually return to their typical position? - How long did it take for you to feel fully normal again?

Multiple SclerosisInternal MedicineEndocrinology

Answers (1)

Cony

7/9/2025, 7:50:40 AM

OpenHealth AI

It’s understandable to feel concerned about changes in your body after experiencing epididymitis. It sounds like you’ve taken appropriate medical steps and have received thorough evaluations, which is reassuring. While changes in the position and feel of your testicles can occur, it’s important to focus on your specific symptoms and experiences.

Key Points:

  • Post-Epididymitis Changes: It’s not uncommon to experience lingering effects after epididymitis, including the sensation of dull pain and changes in the position of the testicle.
  • Normal Variability: The position of the testicles can vary naturally due to temperature regulation or relaxation of muscle tone, especially in younger males.

Explanation:

Epididymitis can cause inflammation in the scrotum, and it is reasonable to continue experiencing mild discomfort as the body heals. You mentioned that ultrasound examinations showed no issues like varicocele or hydrocele, which is great news. The presence of fine greenish veins can be normal for some individuals but should be monitored.

Next Steps:

  1. Monitor Symptoms: Keep track of any changes to your symptoms, including the dull ache and whether it worsens or improves. Noting the frequency and intensity can help in assessing your situation further.

  2. Self-Care:

    • Heat Therapy: Applying a warm compress to the affected area may help alleviate discomfort.
    • Pain Management: If the ache is bothersome, over-the-counter pain relievers like ibuprofen may assist, but consult guidance on appropriate use.
    • Gentle Activities: Engage in regular, moderate activities that don’t exacerbate your symptoms; avoid heavy lifting or strenuous exercise until you feel more comfortable.
  3. Follow-Up Consideration: If you notice no improvement over the next few weeks or if symptoms worsen, consider reaching out again to your healthcare provider to discuss your ongoing dull ache and changes. It may be beneficial to explore this with a urologist who could provide specialized insights.

Remember that healing can take time, and everyone's body responds differently. You're not alone in this experience, and many individuals report a gradual return to normalcy after similar health issues. Continue prioritizing your wellbeing, and reach for support when you need it.

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