Is It True that Patients with Epididymitis Can't Ejaculate?

Under normal circumstances, epididymitis will not affect ejaculation. However, when the patient has epididymitis, if it is acute, the patient should not have sex and ejaculate temporarily to avoid epididymal congestion, which will lead to aggravation of epididymal inflammation. If it is chronic epididymitis, the patient can have sex and ejaculation. The patient should go to the urology department in time, and the patient does not need to have too much mental pressure.
 

If there is a problem with ejaculation, it is mainly caused by psychological reasons because some patients are more nervous and afraid during sex. It is difficult to realize normal ejaculation for this reason. Men with this problem should better adjust their mentality and actively cooperate with the doctor’s treatment.

 

Epididymitis mainly occurs in young people. Some male friends will suddenly have symptoms of fever and fatigue, red scrotum that is swollen and painful, as well as thigh pain.

 

Epididymitis is a common disease among young adults. When the body's resistance is low, pathogenic bacteria such as Coli bacillus, staphylococcus, and streptococcus will enter the vas deferens and invade the epididymis retrogradely, causing inflammation. Therefore, the disease is mainly secondary to posterior urethritis, prostatitis, and seminal vesiculitis. Generally, patients with epididymitis will have induration. Most induration occurs in the head or at the end of the epididymis, as most of them happen at the end.

 

Epididymitis is clinically divided into two categories: acute epididymitis and chronic epididymitis. Below we will introduce to you the symptoms of the two categories and their treatments.

 

1. Acute epididymitis

 

It results in sudden high fever, increased white blood cell count, distended scrotum on the affected side, a feeling of heaviness, and pain in the lower abdomen and groin, aggravated when standing or walking. The epididymis on the affected side was swollen and had obvious pressed pain. 

 

When the scope of inflammation is large, both the epididymis and testis are swollen, and the boundaries between the two are unclear, which is called epididymal orchitis. The spermatic cord on the affected side is thickened and has pressed pain. Under normal circumstances, acute symptoms can be gradually reduced over a week.

 

For acute epididymitis, men can start with general management. Symptoms can be relieved with bed rest and scrotal support or a homemade cushion to support the scrotum. Painkillers can be used for severe pain, and local hyperthermia can alleviate symptoms and promote inflammation reduction. But using hyperthermia too early can worsen pain and risk the spread of infection. Therefore, it is advisable to use local cold compresses with ice packs early. 

 

Sexual life and physical labor can aggravate the infection and should be avoided. Then, select drugs sensitive to bacteria, usually 1 to 2 weeks after intravenous administration, and 2 to 4 weeks of oral antibiotics to prevent chronic inflammation. If antibiotic treatment fails and testicular ischemia may appear, perform the epididymal incision to decompress the epididymis. Multiple longitudinal or transverse incisions in the visceral epididymal membrane should be performed.

 

2. Chronic epididymitis

 

Chronic epididymitis is more common. Some patients become chronic because the acute phase is not completely cured, but most do not have a clear acute phase. Inflammation is secondary to chronic prostatitis or injury. Patients often feel a dull pain in the scrotum on the affected side, with a feeling of swelling and heaviness. 

 

The pain usually involves the lower abdomen and the groin on the same side, and sometimes secondary hydrocele in tunica vaginalis may be combined. The epididymis is often enlarged and hardened to varying degrees during an examination. There is mild tenderness, and the vas deferens at the same side may be thickened.

 

In chronic epididymitis, the effect of drugs alone may not be ideal. In addition to applying effective broad-spectrum antibiotics, physical therapy such as local hot compresses is necessary. Local application of berberine or neomycin plasma iontophoresis can also be used in the epididymis. If there is chronic prostatitis, it must be treated simultaneously. Recurrent epididymitis originating from chronic prostatitis can be treated after ligating the vas deferens. Epididymectomy may also be considered for repeated cases.

 

Whether men find themselves suffering from epididymitis and other diseases, or the situation of ejaculationissues, they should maintain a good attitude, respond positively, and seek medical treatment in time. It will lead to a confident, healthy, and happy life.