Why do I have testicle pain after an episode of mumps?

Question

Hello doctor,

I had mumps five months ago, and after that, I started to have an infection in my left testes. It was swollen, and now it has shrunk to almost half the size of the other one. As I am sexually active, I feel pain in each of the vas deferens after sex. If I do not have sex for days, they become sensitive. I was treated with Ceftum 500 mg, Azithromycin 1 g, and Doxycycline 100 mg, the first time I had an infection.

Now my question is:

Is there any chance that the infection is still in my body?
And, do I need to get examined for it?

For the time being, please suggest some precautionary antibiotics for my relief.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern.

You had mumps, and this is a viral infection known to cause an inflammation of the testis in some cases. Since this is a viral infection, and in most cases, a spontaneous recovery is seen, I do not see any benefit in giving antibiotics. These were probably given to prevent a secondary infection. Now, since the infection is down and there is no fever, there is no need to take the treatment. Infection with mumps results in lifetime immunity. So, remain assured that the infection in your testicle has recovered.

Now, coming to your issue of shrinkage of the testicle and pain after sex, the pain could be due to a mild irritation and might have some psychological components since you just recovered from orchitis. For this problem, I would suggest that you get a USG (ultrasonography) of the scrotum done. This will rule out any altered echotexture and atrophy. Any problems of vas deferns too will be ruled out. And, if there is no atrophy, then there is no need to worry. You can take any over-the-counter analgesic for pain.

I hope this helps.

Revert in case of queries.

Take care.