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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurring Epidymitis?

I got a vasectomy 4 years ago and since then I have had epidymitis 3 times and now I'm at #4. My doctor has asked about my sexual partners but have had none but my wife. So he believes she's cheating. He doesn't believe the vasectomy he performed is doing it. I have not been tested for stds any of these times. My wife is very angry with me for asking. Are there any other ways I can have this recur? It's been about once per year.
posted on Fri, 12 Dec 2014
Twitter Sun, 28 Dec 2014 Answered on
Twitter Mon, 29 Dec 2014 Last reviewed on
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General Surgeon,  's  Response
Hi! Good evening. I am Dr Shareef answering your query.

Even though STD is one of the way of recurring epididymitis, infection could also travel by the way of UTI (Urinary tract infection), and very unsually by any kind of surgery. This could also occur due to improper support to the testes and epididymis resulting in unnoticed trivial trauma during any kind of activity including sexual act. If I were your doctor, I would advise you for the following:

1) Support your testes with properly fitting under garments.
2) Avoid standing for prolonged period, and avoid lifting heavy weight if you do.
3) Advise you for a routine blood tests like a CBC, AEC, HbsAG, HIV test and a urine routine/microscopic examination followed by a culture and sensitivity report if need be. a culture sensitivity test of the semen would also be helpful in choosing the right antibiotic.
4) Avoid indulgence in any sexual activity for the present (till you are cured) which would prevent further trivial trauma if any to the testes, apart from precipitating any kind of infection if present.
5) Prescribe a broad spectrum antibiotic along with an anti inflammatory drug, and a proton pump inhibitor. The antibiotic could change after the report of the culture sensitivity test of urine/semen.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.

Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.



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What Causes Recurring Epidymitis?

Hi! Good evening. I am Dr Shareef answering your query. Even though STD is one of the way of recurring epididymitis, infection could also travel by the way of UTI (Urinary tract infection), and very unsually by any kind of surgery. This could also occur due to improper support to the testes and epididymis resulting in unnoticed trivial trauma during any kind of activity including sexual act. If I were your doctor, I would advise you for the following: 1) Support your testes with properly fitting under garments. 2) Avoid standing for prolonged period, and avoid lifting heavy weight if you do. 3) Advise you for a routine blood tests like a CBC, AEC, HbsAG, HIV test and a urine routine/microscopic examination followed by a culture and sensitivity report if need be. a culture sensitivity test of the semen would also be helpful in choosing the right antibiotic. 4) Avoid indulgence in any sexual activity for the present (till you are cured) which would prevent further trivial trauma if any to the testes, apart from precipitating any kind of infection if present. 5) Prescribe a broad spectrum antibiotic along with an anti inflammatory drug, and a proton pump inhibitor. The antibiotic could change after the report of the culture sensitivity test of urine/semen. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.