Epididymitis & Orchitis

Name: STD Treatment Clinic
Address: Bhagwatibahal, Thamel, Kathmandu, Bagmati Province, 44600, NP
Telephone: +977-9700682800
Price range: $$
Rating: 4.9

A guide to understanding testicular pain and swelling—common complications of untreated STIs in men.

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Medically Reviewed

Expert Verified

Dr. G.P. YadavNMC: 15834

MBBSMD MedicineSTD Specialist

Reviewed: Jan 5, 2024

Updated: Jan 5, 2024

What are Epididymitis and Orchitis?

Epididymitis is inflammation of the epididymis, a coiled tube at the back of the testicle that stores and carries sperm. Orchitis is inflammation of the testicle itself. Often, these two conditions occur together (epididymo-orchitis).

[नेपाली] Epididymitis भनेको अण्डकोषको पछाडि रहेको शुक्रकीट बोक्ने नली (epididymis) सुन्निने अवस्था हो। Orchitis भनेको अण्डकोष नै सुन्निने अवस्था हो। प्रायः यी दुवै समस्या सँगै देखिन्छन्।

Symptoms

Pain and swelling in one testicle.
Scrotum that is red, warm, and tender to the touch.
Painful urination or discharge from the penis.
Fever and general feeling of unwellness.

Diagnosis & Treatment

Prompt diagnosis is critical. It involves a physical examination, urine tests, and sometimes an ultrasound of the scrotum. Treatment includes a course of antibiotics, rest, and pain relievers.

[नेपाली] यसको तुरुन्तै निदान गर्नु महत्त्वपूर्ण छ। यसमा शारीरिक जाँच, पिसाब परीक्षण र कहिलेकाहीँ अण्डकोषको अल्ट्रासाउन्ड समावेश हुन्छ। उपचारमा एन्टिबायोटिक, आराम र दुखाइ कम गर्ने औषधिहरू पर्छन्।

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If you think you may have a medical emergency, call your doctor or emergency services immediately. In Nepal, call 102 for emergency services or go to the nearest hospital emergency room.

Emergency Contact Information:

National Emergency:

102 (Ambulance)

Our Clinic:

+977-9700682800 (WhatsApp available 24/7)

Bir Hospital Emergency:

+977-1-4412400

TU Teaching Hospital:

+977-1-4434320

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Last Updated: January 14, 2026 |Clinic: STD Treatment Clinic |License: 15834

FAQs

Q: Is testicular pain always a sign of an STD?

Not always, but in sexually active men, STIs like Chlamydia and Gonorrhea are a very common cause of epididymitis. It is crucial to get tested to rule out an STD.

Q: Is epididymitis a medical emergency?

Sudden, severe testicular pain should always be treated as a medical emergency to rule out testicular torsion, which requires immediate surgery. If pain is gradual, you should still see a doctor promptly.

Q: Can epididymitis cause infertility?

If left untreated, chronic or recurrent epididymitis can cause scarring that blocks sperm transport, potentially leading to infertility. This is why prompt treatment is so important.