Acute Epididymitis: A warning sign of a sexually transmitted infection

31/05/2025

Acute epididymitis is a sudden and painful inflammation of the epididymis, the duct that collects and transports sperm from the testicle. It is a common urological condition, yet often little known, that can affect young and sexually active men. In many cases, epididymitis is the clinical manifestation of a sexually transmitted infection (STI), particularly caused by bacteria such as Chlamydia trachomatis and Neisseria gonorrhoeae. Early recognition is essential to prevent complications such as chronic inflammation, infertility, or the spread of infection to other structures of the male genital tract.

Epididymitis and Infertility

Acute epididymitis of sexually transmitted origin is not only a painful and inflammatory condition but can also have significant consequences on male fertility, especially if not diagnosed and treated promptly. The infection can permanently damage the epididymis and vas deferens, blocking the normal passage of sperm. In more severe cases, the inflammation can extend to the testicles (orchiepididymitis), impair sperm quality, and cause a reduction in sperm count or motility. This risk is particularly high in bilateral forms or recurrent episodes. Therefore, prevention through safe sexual behaviors and timely diagnosis plays a crucial role not only in resolving acute symptoms but also in protecting future fertility.

Causes and Transmission

One common cause of epididymitis is bacterial infection, often sexually transmitted. Bacteria such as Chlamydia trachomatis and Neisseria gonorrhoeae can migrate from the urethra to the epididymis, causing inflammation. It is essential to practice safe sex by using condoms to reduce the risk of contracting or transmitting these infections.

Importance of Medical Consultation

When faced with symptoms such as persistent testicular pain, it is crucial to immediately consult a doctor or a specialist such as a urologist. Prompt treatment not only relieves pain but also prevents serious future complications. Antibiotics are often prescribed to treat the infection, along with measures to reduce inflammation.

Education and Prevention

Raising awareness about epididymitis is essential to promote understanding of the risks of sexually transmitted infections among men. Education on safe sex, correct condom use, and regular medical consultations are fundamental to preventing not only epididymitis but also other complications related to male sexual health.

Conclusion

Investing in prevention through knowledge and awareness can significantly improve male sexual health and reduce the incidence of conditions such as epididymitis. It is everyone's responsibility to promote an environment of awareness and prevention to ensure the overall and sexual well-being of every individual.