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Having Pain In Pelvic Area, Low Semen Volume And Foamy Urine. What Is Funiculitis?

Posted on Fri, 26 Oct 2012

Question: Hi, i've been having pain in my pelvic area (soreness and mild tenderness on certain area, especially on the left side), low semen volume, and foamy urine. my doctor said i have funiculitis, prescribed me cipro 500mg for 30 days..
My questions are what is funiculitis?
how serious is funiculitis?
is it treatable?
does it affect fertility?
what are the expectations?

Answered by Dr. Rhea Chanda (1 hour later)

Hello,
Funiculitis occurs due to inflammation of the spermatic cord causing it become thickened.If you have pain more on the left side,its possible you have an thickened cord on that side. Now this inflammation is usually caused due to infection.If you have had epididymitis-orchitis or STI before,then that may be the cause.Treatment is antibiotics.
And yes,fertility may be of concern here depending on how severe then infection happens to be and the duration of the infection. You should take the antibiotics as advised.Avoid coitus for some time. Repeat a semen anlysis after 2 months. Recurrent infections are not a good sign. Repeated infections may be the cause for concern regarding fertility.Right now,there's nothing much to do other than complete the antibiotics and maintain good hygiene.With proper treatment,chances of recovery are good.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rhea Chanda (54 minutes later)

Hi Doc, Thank you very much for the reply.

I have more questions.

I've had funiculitis since August 3 but ignored it coz its just intermittent and it was just mild. So i just took taking ibuprofen when needed for pain. How bad is it that i'm just getting treated on September 28.

How effective is Cipro 500mg for treating Funiculitis?
I know i have to complete the prescription but when does Cipro usually takes effect?

and as far as the Cipro.. is it true that it can cause tendonitis.. what is the chance for me getting tendonitis for running 2 miles every other day? Thank you doc

Answered by Dr. Rhea Chanda (18 minutes later)

Your treatment was delayed for sure,but the actual damage cannot be assessed without a semen analysis . Cipro is a broad spectrum drug and usually good and adequate for such infections. You can complete the course.If there is any effect,you should know by 10 days of starting the drug. Tendonitis is a side effect of cipro but its not always caused in all patients. Toxicity of the drug may cause that and that too at high doses.I dont think that your dosage reaches toxic levels.Please dont worry about that at present. Drug can be changed at any time of your experience any severe side effects.You can continue with your work out.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rhea Chanda (33 minutes later)

Doc, I'm sorry but correction on my medication.. i'm taking Cipro 500mg twice a day. is that high to reach toxic levels? am i still good for running?

Answered by Dr. Rhea Chanda (5 minutes later)

Cipro 500mg twice a day is the normal dose.You can still have your work out. I would suggest that you take the drug for 2 weeks first and then have your doctor re assess the improvement.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar