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Howto cure chronic epididymitis in testicular walls
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Infectious Illnesses
Question #11586
257 days ago
411

Howto cure chronic epididymitis in testicular walls - #11586

Abishake

Doctor, I need your advice. A while ago, I got hit in my left testicle and developed epididymitis. Since then, I’ve done multiple scans, and all the reports have come back normal. But the problem is not going away. Every time I masturbate, the pain and discomfort return. This has been happening repeatedly, and it’s starting to worry me. I also want to be honest—I have a masturbation addiction. I find it very hard to control my urges, and even though I know my testicle is sensitive, I keep falling into the cycle. After ejaculation, the left side feels irritated and sometimes painful, even though there’s no major swelling. It feels like the area hasn’t completely healed. I’ve tried taking rest here and there, but I haven’t been able to stay away from masturbation long enough for recovery. I’m scared that I may be causing long-term damage. I wanted to ask—what exactly is happening inside? Is it still inflammation even though scans look normal? Could this be nerve-related pain? What treatment would you suggest in my case, and how can I control my addiction so my testicle can fully heal? --- Want me to also draft a clear set of questions you can take to your urologist so you don’t forget anything during the visit?

Age: 23
Chronic illnesses: abishakeselvakumar@gmail.com
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
256 days ago
5

Hello dear See masturbation is a normal physiological process but excess can cause bening prostrate cancer or sterility issues. You should consult urologist with below sets of questions Frequency of masturbation - it should be reduced to max twice a week Ask if it fine Share the results of following tests Scrotum USG Urine analysis Serum ferritin Serum testosterone Serum RBS Please ask if any other tests is required Last question should be medications if required or not Please ask the above questions with urologist or nephrologist for better clarification Regards

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Chronic epididymitis, especially after a trauma like hitting the testicle, can indeed be tricky to resolve. Even if scans appear normal, some persistent symptoms might linger due to ongoing low-grade inflammation or irritation from frequent masturbation. Although normal imaging suggests no structural issues, inflammation may not always be captured directly. Pain after ejaculation could potentially be related to nerve irritation due to repeated trauma or excessive stimulation. With your history, it’s crucial to allow your testicle to rest to prevent further irritation. Limiting or significantly reducing masturbation could help—not only to break the cycle of irritation but to allow tissues time to heal. This can be difficult with an addiction, but gradual reduction strategies might help. Focus on extending the intervals between occurrences, keeping busy with activities that redirect attention, and possibly seeking help from a therapist who specializes in behavioral modification and addiction if self-control remains challenging. Medically, anti-inflammatory medications such as ibuprofen might be beneficial in managing discomfort, although always consult with your provider before starting any medication. Physiotherapy advice, like applying gentle warmth to the area, can also assist with relaxation and symptom control. As a safeguard, an evaluation by a urologist is advisable to exclude other conditions like nerve involvement, and they can best guide a more tailored treatment approach. Prepare for your appointment by noting down these aspects like pain triggers, nature, and duration to ensure that you cover everything during the visit. Additionally, inquire if any physical therapy or stress management referrals could be helpful. Be honest about your concerns about addiction and ask your doctor for support or referrals for counseling if required.

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