Men’s health
Epididymitis: causes, symptoms and recovery tips
Epididymitis is one of the most common causes of testicle pain and swelling in adult men. Here is what to know about epididymitis, from causes to recovery.
In short: Epididymitis is inflammation of the epididymis, the coiled tube behind the testicle that stores sperm. It is usually caused by a bacterial infection, often an STI in younger men or a urinary infection in older men. It causes pain, swelling and warmth that develop over a day or two. It needs medical assessment and treatment.
Causes
- Sexually transmitted infections such as chlamydia and gonorrhoea, especially in men under 35.
- Urinary tract infections, more common in older men or with an enlarged prostate. See UTI in men.
- Recent catheter or urological procedures.
- Non-infectious causes, including heavy lifting with a full bladder, some medicines and injury.
Symptoms
- Pain and tenderness in one testicle, usually developing gradually
- Swelling and warmth of the scrotum
- Pain when urinating or more frequent urination
- Discharge from the penis
- Fever in some cases
Epididymitis vs torsion
Torsion causes sudden, severe pain and is an emergency. Epididymitis pain usually builds over hours to days. If in doubt, seek urgent care. See testicular pain causes.
Treatment
An appropriately registered medical professional will test for infection and prescribe appropriate antibiotics. If an STI is the cause, partners also need testing and treatment.
Recovery tips
- Rest and elevate the scrotum.
- Use a cold pack wrapped in a cloth.
- Wear supportive underwear.
- Avoid sex until treatment is complete and symptoms settle.
- Pain usually improves within days, but swelling can take weeks.
Prevention
- Use condoms. See STI symptoms in men.
- Treat urinary symptoms early.
- Empty your bladder before heavy lifting.
How we can help
Our naturopaths can support recovery, comfort and immunity naturally alongside the medical treatment you need, and refer you promptly for testing.
Why men choose our natural approach
Walk in or consult remotely
Walk in at Buccleuch, Sandton, with parking available, or consult by phone or video from anywhere in South Africa.
Natural and non-surgical
Herbal remedies and practical guidance, with no injections or surgery.
Faster appointments
Enquiries answered 24/7, with same-day appointments often available.
Transparent pricing
Consultations are R2,500, with any remedy costs confirmed before you commit.
Private self-check: 5 quick questions
Answer these honestly before you try anything new or book. They help you describe what is happening and get more from your first consultation.
- Do you have pain, swelling, redness or itching in the genital area?
- Have you noticed discharge, sores, a lump or blood in your urine or semen?
- Do you have a fever or feel generally unwell?
- Has this lasted more than a few days, or keep coming back?
- Is it affecting your sex life, sleep or confidence?
A yes to questions two or three, or sudden severe pain, means you should see an appropriately registered medical professional promptly. For recurring or lifestyle-related concerns, a naturopath can help with natural support alongside medical care.
What happens at your first consultation
- Walk in or book online, call +27 10 205 9855 or WhatsApp +27 81 823 1313. In Gauteng, walk in at 199 Vanessa Street, Buccleuch, Sandton, where parking is available. Outside Gauteng, choose a confidential phone or video consultation. Enquiries are answered 24/7.
- Talk privately with a naturopath about your symptoms, health history, lifestyle and goals.
- Receive a personalised natural plan, with any remedy costs confirmed upfront.
- Follow up in person or remotely so your progress is reviewed and your plan adjusted.
Your health and safety
Our naturopaths use natural remedies and lifestyle support, and always check your health history and current medicines first. Epididymitis usually needs testing and medical treatment, so we refer you to an appropriately registered medical professional promptly. Avoid unregistered “enhancement” products sold online or at markets, as SAHPRA has warned that some contain hidden ingredients.
Seek urgent medical care for chest pain, an erection lasting more than four hours, sudden weakness or other sudden symptoms.
Consultation price
A consultation is R2,500, in person or remote, and your naturopath confirms any further costs before you go ahead. See our mens clinic prices for details.
Frequently asked questions
What causes epididymitis?
Usually bacterial infections, including STIs in younger men and urinary infections in older men.
How long does epididymitis take to heal?
Pain usually improves within days of treatment, but swelling can take several weeks to settle.
Is epididymitis an emergency?
It needs prompt assessment. Sudden severe pain may be torsion, which is an emergency.
Can epididymitis affect fertility?
Rarely, severe or repeated infection can affect fertility, which is why treatment matters.
How much does a consultation cost?
A consultation is R2,500, and any remedy costs are confirmed with you before you go ahead.
Book your consultation today
Get personalised, natural support from a naturopath. Walk in at our Sandton practice, or book a remote consultation if you live outside Gauteng.
References and further reading
Reviewed by George Mulaudzi, Naturopath. This page is general information and does not replace a personal consultation. If you have chest pain, sudden symptoms or a medical emergency, seek urgent medical care.
