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Orchitis

Here is a brief introduction to orchitis and why it is an important condition in men’s health. Orchitis can affect fertility, hormone production, and overall well‑being, making it essential to recognize symptoms early and understand available treatment options.

Table of Contents

  1. What Is Orchitis?
  2. Key Takeaways
  3. Overview and Quick Facts
  4. Causes of Orchitis
  5. Symptoms of Orchitis
  6. Types of Orchitis
  7. Diagnosis
  8. Treatment Options
  9. Complications
  10. When to Seek Medical Attention
  11. Frequently Asked Questions About Orchitis
  12. References and Further Reading
  13. Disclaimer

What Is Orchitis?

Orchitis is inflammation of one or both testicles. It can be painful and may occur due to infection, injury, or autoimmune processes. While viral infections like mumps are common causes, bacterial infections, including sexually transmitted infections, can also lead to orchitis.

Key Takeaways

  • Orchitis is inflammation of the testicle, often caused by viral or bacterial infections.
  • Symptoms commonly include testicular pain, swelling, fever, and tenderness.
  • Mumps orchitis is a leading cause of viral orchitis in adults.
  • Bacterial orchitis can occur from urinary tract infections or sexually transmitted infections.
  • Untreated orchitis can lead to complications such as infertility or chronic pain.
  • Early diagnosis and treatment help reduce long-term effects.
  • Pain relief, antibiotics, and supportive care are common treatments.
  • Men with severe pain or high fever should seek prompt evaluation.
  • Epididymo-orchitis describes combined inflammation of the epididymis and testicle.
  • Orchitis does not always affect fertility, but some cases can impair sperm production.

Overview and Quick Facts

Category Details
Definition Inflammation of one or both testicles
Common Causes Viral (mumps), bacterial infections, STIs
Key Symptoms Pain, swelling, fever, tenderness
Primary Treatments Antibiotics, rest, anti-inflammatories
Potential Complications Infertility, chronic pain, abscess
Related Conditions Epididymo-orchitis, testicular torsion

Causes of Orchitis

Common orchitis causes include:

  • Viral infections such as mumps
  • Bacterial infections from UTIs
  • Sexually transmitted infections
  • Spread of infection from the prostate or epididymis
  • Autoimmune inflammation (rare)

Symptoms of Orchitis

Orchitis symptoms generally include:

  • Sudden or gradual testicular pain
  • Swelling of the scrotum
  • Tenderness and warmth
  • Fever or chills
  • Nausea or malaise
  • Discomfort with walking or movement

Types of Orchitis

Bacterial Orchitis

Often linked with UTIs or STIs such as chlamydia or gonorrhea.

Viral Orchitis

Most commonly caused by the mumps virus.

Epididymo-Orchitis

Combined inflammation of both the epididymis and testicle.

Granulomatous Orchitis

A rare, chronic form of inflammation that may mimic tumors and requires specialist evaluation.

Diagnosis

Orchitis diagnosis may involve:

  • Physical examination
  • Ultrasound imaging
  • Urinalysis
  • STI testing
  • Blood tests to assess infection or inflammation

Treatment Options

Antibiotics

Used for bacterial orchitis to clear infection.

Pain Relief and Anti-inflammatory Medications

Help reduce discomfort and swelling.

Supportive Care

  • Scrotal support
  • Bed rest
  • Cold compresses

Treatment for Viral Orchitis

Primarily supportive care, as viral infections do not respond to antibiotics.

Complications

Potential orchitis complications include:

Complication Description
Infertility Reduced sperm production in severe or untreated cases
Chronic Pain Persistent discomfort even after infection resolves
Abscess Collection of pus inside the testicle
Tissue Damage Atrophy or shrinking of the affected testicle

When to Seek Medical Attention

Men should seek care for:

  • Severe testicular pain
  • High fever
  • Rapid swelling
  • Pain lasting beyond a few days
  • Symptoms of a possible STI
  • History of mumps with new testicular symptoms

Frequently Asked Questions About Orchitis

What does orchitis mean in men's health?

Orchitis refers to inflammation of one or both testicles. It is most often caused by infections.

What are the main orchitis symptoms?

Common symptoms include pain, swelling, fever, and tenderness of the testicle.

What causes orchitis?

Orchitis causes include viral infections such as mumps, bacterial infections, and sexually transmitted infections.

Is orchitis dangerous?

It can be if untreated. Some men experience complications such as infertility or chronic pain.

How is orchitis diagnosed?

Doctors use exams, ultrasound, urine tests, and blood tests to confirm orchitis.

Can orchitis cause infertility?

Yes, especially if severe or related to mumps, but not all cases lead to infertility.

Is orchitis contagious?

Orchitis itself is not contagious, but infections causing it, such as mumps or STIs, may be.

How is orchitis treated?

Treatment includes antibiotics for bacterial infections and supportive care for viral causes.

Can orchitis be prevented?

Prevention strategies include vaccination, STI prevention, and early treatment of urinary infections.

What is epididymo-orchitis?

This condition involves inflammation of both the testicle and epididymis, usually from bacterial infection.

How long does orchitis last?

Symptoms typically improve within 1–2 weeks, though swelling may last longer.

Can orchitis lead to chronic pain?

Some men experience ongoing discomfort after recovery.

What is mumps orchitis?

A testicular inflammation caused by the mumps virus, more common in unvaccinated adults.

When should I see a doctor for orchitis?

Seek care immediately for severe pain, fever, or rapid swelling.

Can orchitis be mistaken for testicular torsion?

Yes. Torsion is an emergency, so accurate diagnosis is essential.

Is orchitis related to prostate infections?

Sometimes. Prostate or urinary infections can spread to the testicles.

Can orchitis resolve on its own?

Viral cases may resolve, but bacterial orchitis requires antibiotics.

References and Further Reading

  • National sexual health organizations
  • Reputable medical clinics and hospital systems
  • Men’s health urology associations
  • Public health resources on STIs and mumps
  • Peer-reviewed urology and infectious disease journals

Disclaimer

This article is for informational and educational purposes only and is not a substitute for professional medical advice.

Frequently Asked Questions

Dr. Gonzalez Answers

Popstar Labs cofounder Dr. Joshua Gonzalez is a board-certified urologist and Sexual Medicine expert, here to answer your questions

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