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.

What is it and how do I get it?

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.

What might I notice?

How do I test for it?

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.

Service Finder

How do I treat it?

Should I tell the people I have sex with?

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.