Testicular Disorders (cont.)
What Should I Do to Prevent Testicular Cancer?
To prevent testicular cancer, all men should be familiar with the size and feel
of their testicles, so they can detect any changes. Most doctors feel that
recognizing a lump early is an important factor in the successful treatment of
testicular cancer and recommend monthly testicular self-examinations in
combination with routine physical exams for all men after puberty.
What Is Epididymitis?
Epididymitis is
inflammation of the epididymis. The epididymis is the coiled tube that lies on
and around each testicle. It functions in the transport, storage and maturation
of sperm cells that are produced in the testicles. The epididymis connects the
testicles with the vas deferens (the tubes that carry sperm).
What Causes Epididymitis?
Epididymitis
often is caused by infection or by the sexually transmitted disease chlamydia.
In men over 40 years of age the most common cause is due to bacteria in the
urinary tract.
What Are the Symptoms of Epididymitis?
Symptoms of epididymitis include scrotal pain and swelling. Discharge from the
penis, painful urination and painful intercourse or ejaculation may also be
present. In severe cases, the infection can spread to the adjacent testicle,
causing fever and abscess (collection of pus).
How Is Epididymitis Treated?
Treatment for epididymitis includes antibiotics (drugs that kill the bacteria
causing the infection), bed rest, ice to reduce swelling, the use of a scrotal
supporter and anti-inflammatory medicines (such as ibuprofen). Partners will
need to be treated if the epididymitis is due to a sexually transmitted
infection to prevent re-infection.
If left untreated, epididymitis can produce scar tissue, which can block the
sperm from leaving the testicle. This can cause problems with fertility,
especially if both testicles are involved or if the man has recurring
infections.
How Can I Prevent Epididymitis?
The use of condoms during sex can help prevent epididymitis caused by
chlamydia or gonorrhea.
Next: What is hypogonadism? »
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