Epididymitis is an inflammation of the testicle caused by a serious infection and is associated with painful sensation and swelling of the testicle, causing male infertility. So, does unilateral epididymitis affect fertility? How to treat epididymitis? Unilateral epididymitis is very common among male diseases nowadays. For male friends, there are two sets of reproductive systems, and when one side is damaged, it can be compensated by the other set, thus it does not affect. Many patients are worried that it will affect fertility. For this reason, let’s take a look at whether unilateral epididymitis patients will affect fertility? It will not affect fertility but still needs to be treated Fertility is mainly determined by whether the sperm you ejaculate is walking with enough vitality. If there is only one testicle, and the testicle functions normally and can secrete sex hormones and produce sperm normally, the infertility caused by epididymitis is mainly caused by blockage of the vas deferens and epididymal ducts, but if the other side is normal, you can still have children. However, it is recommended that you go to a regular specialized hospital for detailed examination and treatment. Common symptoms of epididymitis Epididymitis is mostly seen in middle-aged and young people, and can be divided into acute epididymitis and chronic epididymitis according to the course of the disease. Acute epididymitis has a sudden onset, high fever, elevated leukocytes, distension and pain in the scrotum on the affected side, sinking sensation, pulling pain in the lower abdomen and groin, and intensifying when standing or walking. In general, the acute symptoms can gradually subside after a week. Chronic epididymitis is more common, some patients are not completely cured in the acute phase and become chronic, but most patients do not have a clear acute phase, the inflammation is mostly secondary to chronic prostatitis or injury, patients often feel the affected side of the scrotum vague pain, swelling, pain often involves the lower abdomen and ipsilateral groin, sometimes can be combined with secondary syringomyelia, examination of the epididymis often have different degrees of enlargement The epididymis is often enlarged to different degrees during examination, with mild pressure pain, and the ipsilateral vas deferens can be thickened. How to treat epididymitis 1. Internal treatment Since the cause of acute epididymitis is bacterial rather than urinary reflux, medication should be used. Therefore, drug treatment should be used. The causative agent of acute epididymitis is often caused by intestinal bacteria or Pseudomonas aeruginosa, which is mostly seen in middle-aged and elderly men. The choice of antibacterial drugs should be decided by bacterial culture as well as antibacterial drug sensitivity test. If you are sensitive to methotrexate, you should take it orally twice a day for 4 weeks, especially if it is more useful with bacterial prostatitis. If local erythema is evident and blood leukocytosis temperature rises, antibiotics should be administered intravenously until temperature normalizes and oral antibiotics are changed, all of which should be examined in the genitourinary tract of these patients. Other general supportive therapy: bed rest should be given during acute epididymitis. Scrotum with artificial support can reduce pain. If the pain of epididymis is heavy, 1% lidocaine 20ml can be injected locally by the spermatic cord at the upper end of the testis to relieve discomfort, and oral analgesics and antipyretics can be used. In the early stage, an ice pack can be placed at the epididymis to prevent swelling. In the late stage, hot compresses can be used to accelerate the disappearance of inflammation and reduce the patient’s discomfort. 2. Surgical treatment Acute epididymitis is mostly complicated by acute infection of the genital tract, and there are also blood-type infections. Therefore, acute epididymitis often turns into chronic epididymitis after medication, and there is often chronic prostatitis or seminal vesiculitis, urethritis and vasovaginitis, and the spermatic cord can also be involved in acute or chronic spermatorrhea. In the treatment of acute epididymitis, medication is usually used, and antibiotics are routinely applied, both orally and intravenously, but the treatment effect is often poor. After acute inflammation, a chronic process is presented, and chronic inflammatory nodules of the epididymis are left behind to present symptoms, causing great pain to the patient.