Pain In The Testicles Could Be EPIDIDYMITIS



Have you ever experienced sudden testicular pain or swelling and wondered what might be causing it? It could be epididymitis, a condition that can lead to serious complications if left untreated. In this video, Dr. med. Dr. phil. Stefan Buntrock, a board-certified urologist from Göttingen, explains how to recognize the symptoms of epididymitis, the common causes, and the essential treatments required. Epididymitis occurs when the epididymis, a small tube attached to the testicles that stores sperm, becomes infected or inflamed. In young men, this is often caused by sexually transmitted infections (STIs) such as chlamydia and gonorrhea, while in older men, residual urine in the bladder is typically the culprit.

Dr. Buntrock emphasizes that epididymitis requires medical attention, with antibiotics being the cornerstone of treatment. Delaying treatment can lead to severe complications such as testicular damage, infertility, and even sepsis. The video also explores other conditions that cause similar symptoms, such as testicular torsion, hydrocele, and testicular cancer, and underscores the importance of a proper diagnosis. Lastly, preventive measures, like using condoms and addressing residual urine issues, are discussed to help avoid this painful condition.
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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