Signs and symptoms of epididymitis might include:
- A swollen, red or warm scrotum
- Testicle pain and tenderness, usually on one side
- Painful urination or an urgent or frequent need to urinate
- Discharge from the penis
- Painful intercourse or ejaculation
- A lump on the testicle
- Enlarged lymph nodes in the groin
- Pain or discomfort in the lower abdomen or pelvic area
- Blood in the semen
- Less commonly, fever
Epididymitis that lasts longer than six weeks or that recurs is considered chronic. Symptoms of chronic epididymitis might come on gradually. Sometimes the cause of chronic epididymitis is not identified.
When to see a doctor
Never ignore scrotal pain or swelling. Scrotal pain can be caused by a number of conditions, and some of them require immediate treatment to avoid permanent damage.
If scrotal pain is severe, seek emergency treatment. Also see a doctor if you have discharge from your penis or pain when you urinate.