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Epididymo-orchitis

Epididymo-orchitis is the inflammation of the epididymis (tube attached to each testicle) and testicles. It is usually caused by spread of infection. Treatment is with oral antibiotics for an average of two weeks.

Epididymo-orchitis is the inflammation of the tube (epididymis) attached to each testicle (ball). It is usually caused by infection.  In young people, this is often infection with Gonorrhoea and Chlamydia.  If it is not treated, it can lead to testicular abscess (pus in the testicle), pain and difficulty getting pregnant.

STIs like Gonorrhoea and Chlamydia can cause epididymo-orchitis.  These are passed from one person to another during sex without a condom.  This can be vaginal, anal and oral sex.  Urine infections can also cause epididymo-orchitis.

You have pain or swelling of your balls (testicles).  You have a discharge (liquid) from the tip of the penis or pain when passing urine (doing a wee).

You need to be seen by a nurse or doctor in clinic.  We will have a look at (examine) your testicles and do some tests.  You will be offered a test for Gonorrhoea and Chlamydia (urine test).

You can use the Service Finder below to find a testing service near you.

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Treatment is with antibiotics (tablets taken by mouth) for two weeks.

If you are treated for epididymo-orchitis, it is really important that people you have sex with are tested and treated.  Your nurse or doctor will help you work out which partners to tell and can help you tell them (if you want help with this). Don’t have sex until partners have been treated or you might get the infection again.

Contraception Choices

There are many types of contraception available and none are perfect. The Contraception Choices website provides honest information to help weigh up the pros and cons.

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