The tube that leads from the testes to the urethra is known as the seminal duct. The part that lies behind the testes through which the seminal fluid (the nutritious liquid in which the sperm flourishes) flows is known as the epididymis. Epididymitis is the inflammation of this coiled, lengthy tube.

Epididymitis, like testiculitis, is generally characterized by a sharp or dull pain, tenderness to the touch, possibly swelling and redness of the scrotal sack.

Inflammation may be caused by trauma, infection or, more rarely, an underlying tumour. It is because of this latter possibility that medical advice is essential but chronic inflammation from infection or unrecognized damage from trauma also makes it preferable to obtain a medical opinion.

Epididymitis is a very specific diagnosis and testicular pain may come from other causes such as torsion (twisting), which is a serious medical emergency or indeed may be referred pain from another part of the genital tract.

Any testicular pain or swelling should be examined by a doctor.

Use the homeopathic remedy Arnica 6 every half an hour until a firm diagnosis has been made. Once a diagnosis has been made, consider the following homeopathic remedies, depending on the cause and symptoms: Belladonna, Pulsatilla, Hamamelis – all at potency 6 every 4hr.

Apply a cold compress if it helps.

If antibiotics are recommended and homeopathic treatment is not working, then consult your complementary medical practitioner without delay and consider using the antibiotics if an alternative treatment is not effective within 12hr. Incorrect or a lack of treatment may lead to sterility, especially if the cause is infection, which may spread to the testes.