As a medical professional with a focus on urology, I can provide you with a detailed explanation regarding epididymitis and its causes.

Epididymitis refers to the inflammation of the epididymis, which is the coiled tube located at the back of the testicle that stores and carries sperm. This condition is indeed more common in males under the age of 35, and it can be quite painful and uncomfortable.

While it is true that sexually transmitted infections (STIs) are a common cause of epididymitis, particularly in younger men, it is not accurate to say that all cases of epididymitis are caused by STIs. There are several other factors that can lead to this condition:


1. Infections: Besides STIs, other types of infections can also cause epididymitis. For instance, urinary tract infections (UTIs) can lead to the inflammation of the epididymis if not treated promptly.


2. Immune System Disorders: Sometimes, the body's immune system can mistakenly attack its own tissues, leading to inflammation. This is known as an autoimmune disorder and can result in epididymitis.


3. Structural Abnormalities: Certain anatomical issues, such as a congenital absence of the vas deferens, can predispose an individual to epididymitis.


4. Trauma: Physical injury to the genital area can also lead to inflammation of the epididymis.


5. Other Medical Conditions: Conditions such as prostatitis, which is an inflammation of the prostate gland, can also cause epididymitis.

In men over the age of 35, the causes of epididymitis may be different from those in younger men. In older men, the condition is less likely to be caused by STIs and more likely to be associated with other factors such as urinary tract infections, benign prostatic hyperplasia (BPH), or other non-STI related infections.

It is important to note that while STIs are a significant cause of epididymitis, they are not the only cause. Therefore, a comprehensive medical evaluation is necessary to determine the exact cause of the inflammation. This may involve a physical examination, laboratory tests, and imaging studies.

Treatment for epididymitis depends on the underlying cause. If an STI is the cause, antibiotics specific to the infection will be prescribed. For non-STI related causes, treatment may include antibiotics for bacterial infections, anti-inflammatory medications, and in some cases, surgical intervention.

In conclusion, while STIs are a common cause of epididymitis, particularly in younger men, they are not the sole cause. A variety of factors can lead to this condition, and it is crucial to seek medical attention for a proper diagnosis and treatment plan.

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Epididymitis. Epididymitis is an inflammation of the tube that joins the testicle with the vas deferens. This happens most often in males under age 35 and is usually caused by a sexually transmitted infection. If males over the age of 35 get epididymitis, it is not usually caused by an STI.read more >>