How is orchitis treated?

Updated: Aug 27, 2019
  • Author: John L Brusch, MD, FACP; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

For viral orchitis, supportive therapy with scrotal support, cold compresses, and bedrest is all that is needed. The use of estrogens, gammaglobulin, and steroids has been advocated by some, but these have not been shown to decrease the risk of sterility or shorten the duration of symptoms. Symptoms usually resolve spontaneously in 7-10 days.

In cases of mumps orchitis, the patient and his family should be advised that sterility develops in up to 10% of affected individuals. Because no treatment is available for this entity, it is important that the measles-mumps-rubella (MMR) vaccine be administered in childhood and repeated in late adolescence.


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