Impact of Epididymitis and Swollen Testicles on Male Fertility
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Impact of Epididymitis and Swollen Testicles on Male Fertility

Keeping your fertility intact requires understanding what can get in the way. Here is the impact of Epididymitis and swollen testicles on male fertility.

Fertility issues can arise that may make it more difficult or even prevent individuals from being able to conceive.

A common fertility complication that males experience is known as epididymitis, and one of the primary symptoms is swollen testicles. Let’s explore everything you need to know about this condition.

What Exactly Is the Epididymitis?

For those who are unfamiliar with this term, it involves inflammation of the epididymis. This is a tube present adjacent to the testicles and it is used for sperm storage.

When this tube becomes inflamed, it begins to swell, something that can easily cause pain within the testicles. In extreme cases, those who are affected that by this condition may find performing basic tasks, such as walking or standing up, becomes relatively painful.

This condition is most common in men who are aged 18 to 35.

What Are the Different Types?

Epididymitis can be categorized into two primary types. The symptoms that you have will typically vary depending on what type of epididymitis you suffer from.

Let’s explore both of them below.


As the name suggests, chronic epididymitis lasts for an extended period of time, longer than three months.

As time goes on, swelling and discomfort may continue to progress. Although it's unlikely that these symptoms become unbearable, they can have a significant impact on your quality of life.

If the condition does not heal on its own or the affected individual does not receive the proper treatment, they run the risk of cysts or calcification forming.

In this scenario, immediate medical treatment is highly recommended.


In contrast, acute epididymitis typically lasts for less than six weeks. This also means that you will likely experience lower-grade inflammation and discomfort.

However, severe cases of acute epididymitis could still potentially impact fertility. So, it’s imperative that you keep an eye on this condition once it develops.

What Are the Symptoms?

More often than not, those who have epididymitis will experience swollen testicles. They may also feel a sense of “heaviness” in the scrotum, and they may even feel pain during certain movements.

It’s not uncommon for those who suffer from epididymitis to find athletic activity relatively uncomfortable. In some cases, you could also experience pain during sexual intercourse.

Other common symptoms include:

  • Nausea
  • Redness in the testicles or scrotum
  • The presence of blood within semen
  • A persistent low-grade fever
  • Pain in the pelvis or lower back
  • Chills

If you are experiencing symptoms, or find that any of your symptoms interfere with your daily routine, you should speak with a medical professional.

How Does It Cause Male Fertility Concerns?

Although the complications of epididymitis are relatively straightforward, not everyone understands how it relates to infertility.

Let’s take a closer look.

Testicular Infarction

When testicular infarction occurs, the blood supply that the testicles are able to receive becomes limited. Over time, this can cause permanent damage to this region of your body.

If your testicles do not receive a sufficient blood supply, they may not be able to facilitate the development and storage of healthy sperm. This could lead to infertility, as none of the sperm will be able to sufficiently fertilize an egg.

Fortunately, it is relatively easy to determine whether or not you are experiencing testicular infarction. This could result in discoloration of the testicles, tenderness, or testicular deformity.

If you notice any of the above symptoms, seek medical treatment as soon as possible.

Epididymis Tube Blockage

Since the epididymis is directly connected to the epididymis tube, it’s possible for the infection to spread to this area. If the epididymis tube becomes infected, a blockage may form that prohibits sperm from passing through.

It should come as no surprise that the situation involving sperm unable to travel through the epididymis tube can lead to infertility. This is a reason why swollen testicles could affect your ability to have children in the future.

Sperm Destruction

In general, epididymitis may lead to a lower sperm count. This is due to the fact that sperm destruction can occur through this condition.

This becomes more prominent and severe cases of epididymitis, as you may experience multiple of the above symptoms. To elaborate, you may have both testicular infarction and tube blockage.

Combined with a scenario that involves chronic epididymitis, you may experience the development of infertility.

If you’re concerned about your current sperm count, it’s possible to safely preserve your sperm for in vitro fertilization. You can visit this resource to learn more.

Dealing With Swollen Testicles Might Seem Frightening

The sooner you notice this issue, however, the faster you can get treatment. Treating swollen testicles promptly will help ensure that fertility issues don’t arise in the future.

If you want to get an understanding of your current fertility, you can order an at-home kit with Dadi.

This information on the site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Dadi Inc. makes no representation and assumes no responsibility for the accuracy of information contained herein, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this web site or article with other sources, and review all information regarding any medical condition or treatment with your physician.

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