Have you heard of this disease of the testes?

Many times when people think about infections, the testes are usually one of the last body parts to come to mind.  You may not be aware, but it is very possible to get an infection down there.

In this article, we will be considering a common type of infection called epididymo-orchitis.

Have you heard of this disease of the testes?

What is epididymo-orchitis?

This term refers to inflammation of the epididymis and testicles, often due to an infectious cause.

The epididymis is a part of the male reproductive system where sperm cells are first stored to mature after they have been released from the testes.

The testes are two (normally) ball-like organs which are normally situated in the scrotum of a man. The testis is the manufacturing site for sperm.

When microorganisms get into the body and cause infection of the testes and epididymis, epididymo-orchitis results.

It possible for there to be only orchitis (inflammation of the testis alone) without involvement of the epididymis. However, because both organs are connected, they regularly get infected at the same time.   

How does epididymo-orchitis occur?

Like the central nervous system, the testis is considered a ‘sanctuary site’ in the body because its anatomy makes it difficult for most organisms and molecules to pass through. However, disease-causing organisms can still penetrate the organ and cause infection and inflammation.

Factors that increase the risk of this include:

  1. Urinary tract infection: The urinary and reproductive systems are intricately linked in males. Therefore, a UTI can easily track up to affect the testis and epididymis.
  1. Older age: As men age, the likelihood of developing prostate enlargement increases. BPH is a risk factor for urinary tract infections which can cause epididymo-orchitis.
  1. Penetrative injury through the scrotum.
  1. Having a urinary catheter.
  1. Mumps infection: The viral infection typically causes parotid gland swelling (a salivary gland in the mouth) and epididymo-orchitis. Research  has shown that 1 in 5 boys with mumps will develop epididymo-orchitis.
  1. Any surgery to the testes or scrotal area increases the risk of developing the infection.
  1. Sexually transmitted infections like gonorrhoea.

Symptoms of testicular infection

Epididymo-orchitis can cause the following symptoms:

  • Testicular or scrotal pain
  • Scrotum/testis that feels warm to touch
  • A heavy, pulling or dragging sensation in the testis/scrotum
  • Swollen testis
  • Fever
  • Chills
  • Vomitting
  • Urethral discharge (if there is co-existing urinary tract infection or STI)

These symptoms typically affect one testis at a time. It is unusual for the infection to affect the two testes at the same time.

How is epididymo-orchitis diagnosed?

Your doctor will ask you some questions and examine you to help arrive at the diagnosis.

Tests like urine microscopy/culture/sensitivity and other blood tests may be done. Scrotal ultrasound scan is also not out of place.

How is epididymo-orchitis treated?

Treatment of the infection typically involves:

  1. Use of antibiotics to treat the infection
  2. Treating any co-existing STI
  3. Use of pain killers to subdue the pain
  4. Sexual abstinence is usually required until the infection subsides.


A simple case of epididymo-orchitis may get complicated if adequate treatment is not given on time.

Some of these complications include:

  • Chronic scrotal pain: Pain that persists even after the infection has resolved.
  • Testicular abscess: Pus can form in the infected site.
  • Sub-fertility or infertility: Fertility problems can arise if the infection is not well managed.
  • Chronic inflammation of the affected testis.
  • Testicular gangrene: The affected testis may die off and require surgical removal.

A word from Healthfacts

Epididymo-orchitis is a treatable infection of the testes and epididymis of a man. It is important to seek treatment early, to avoid complications.

Kindly comment and share this post for others to see!

Read Also: Skin reactions to jewelry? Know why!


  1. Thanks for the marvelous posting! I seriously enjoyed reading it, you will be
    a great author. I will make certain to bookmark your blog and will
    come back at some point. I want to encourage yourself to
    continue your great work, have a nice morning!

  2. Have you ever considered creating an e-book or guest authoring on other sites?

    I have a blog based upon on the same subjects you discuss and would love
    to have you share some stories/information. I know my audience would enjoy your work.
    If you’re even remotely interested, feel free to
    send me an email.

  3. I don’t know whether it’s just me or if perhaps everyone else experiencing problems with your website.
    It seems like some of the text within your posts are running off the screen.
    Can someone else please provide feedback and let me know if this is happening to them
    as well? This might be a issue with my internet browser because I’ve had this happen before.
    Many thanks

  4. I really like your blog.. very nice colors & theme. Did you create this website
    yourself or did you hire someone to do it for you?
    Plz reply as I’m looking to construct my own blog and would like to find out where u got this
    from. thanks

  5. Hello there, I believe your website could possibly be having internet browser compatibility problems. Whenever I take a look at your web site in Safari, it looks fine but when opening in IE, it’s got some overlapping issues. I merely wanted to give you a quick heads up! Aside from that, excellent blog!

  6. Greate pieces. Keep posting such kind of information on your blog.

    Im really impressed by your site.
    Hello there, You’ve done an incredible job. I will certainly digg it and personally suggest to my friends.
    I am sure they’ll be benefited from this website.

  7. You have made some decent points there. I looked on the web to find out more about the issue and found most individuals will go along with your
    views on this site.

  8. I’m more than happy to discover this web site. I wanted to thank you for ones time due to this fantastic read!! I definitely loved every bit of it and I have you book marked to look at new things in your website.

  9. Good day! I know this is kinda off topic but I was wondering which
    blog platform are you using for this website? I’m getting sick and tired of WordPress
    because I’ve had issues with hackers and I’m
    looking at alternatives for another platform. I would be awesome if you
    could point me in the direction of a good platform.

  10. I know this if off topic but I’m looking into starting my own weblog and was curious what all
    is needed to get setup? I’m assuming having a blog like yours would cost a pretty penny?

    I’m not very web smart so I’m not 100% certain. Any recommendations
    or advice would be greatly appreciated. Appreciate it

  11. Its such as you learn my thoughts! You appear to understand so much about this, like you wrote the ebook in it or something.
    I feel that you can do with some percent to pressure the message
    home a bit, however instead of that, this is great blog.
    A fantastic read. I’ll definitely be back.

  12. Having read this I thought it was extremely informative. I appreciate you spending some time and energy to put this content together. I once again find myself spending a lot of time both reading and leaving comments. But so what, it was still worthwhile!

  13. I used to be recommended this web site by my cousin. I am
    now not positive whether or not this post is written by means
    of him as nobody else recognize such special about my problem.

    You’re amazing! Thank you!

  14. Spot on with this write-up, I actually believe this web site needs a great
    deal more attention. I’ll probably be returning to read through
    more, thanks for the information!

  15. It is actually a nice and useful piece of info. I’m satisfied
    that you simply shared this useful information with us.

    Please stay us informed like this. Thanks for sharing.

  16. Hi there are using WordPress for your blog platform? I’m
    new to the blog world but I’m trying to get started and create my own. Do you require
    any html coding knowledge to make your own blog? Any help would be greatly appreciated!

  17. I have been surfing online more than 3 hours today, yet I never found
    any interesting article like yours. It’s pretty worth enough for me.
    In my view, if all webmasters and bloggers made good content as you did, the internet will be a lot more useful than ever before.

  18. Hi there I am so delighted I found your weblog, I really found you by mistake,
    while I was looking on Askjeeve for something else, Nonetheless I am here now
    and would just like to say cheers for a marvelous post and a all round exciting blog (I also love the theme/design), I don’t
    have time to look over it all at the minute but I have
    bookmarked it and also added in your RSS feeds, so when I have time
    I will be back to read much more, Please do keep up
    the superb work.

  19. Hmm is anyone else encountering problems with the pictures on this
    blog loading? I’m trying to determine if its a problem on my end
    or if it’s the blog. Any feedback would be greatly appreciated.

  20. Oh my goodness! Amazing article dude! Thanks, However I am
    encountering troubles with your RSS. I don’t understand why I am unable to subscribe to it.

    Is there anybody else having similar RSS problems?
    Anyone that knows the answer will you kindly respond?

  21. Hello There. I found your blog using msn. This is a really well
    written article. I’ll make sure to bookmark it and return to read more of your useful info.
    Thanks for the post. I’ll definitely comeback.

  22. Hello there! Would you mind if I share your blog with my twitter
    group? There’s a lot of folks that I think would really enjoy your content.

    Please let me know. Cheers

  23. I enjoy what you guys tend to be up too. This type of
    clever work and reporting! Keep up the very good works guys I’ve incorporated you guys
    to our blogroll.

  24. Thanks for the concepts you write about through this web site. In addition, several young women exactly who become pregnant usually do not even attempt to get health insurance because they have anxiety they couldn’t qualify. Although a lot of states now require that insurers provide coverage no matter what about the pre-existing conditions. Prices on these kind of guaranteed plans are usually higher, but when with the high cost of medical care it may be any safer way to go to protect your current financial future.

  25. you are in reality a excellent webmaster. The web site loading velocity is amazing. It kind of feels that you’re doing any distinctive trick. In addition, The contents are masterwork. you’ve done a great activity in this subject!