For about ten days ago I had a feeling of discomfort in my pelvis after ejaculation or masturbating with some burning and pain in the left testis.But it was mild and I thought its from pelvic congeston. Then one week later I had severe pain in my left loin-testis-tip of the penis-perineum and sometimes in the anus.I could not close my legs or sit comfortably pain was so bad. However there was no fever. AT first I thought its a renal colic, Urine analysis was NORMAL. I was started on antibiotic called Tavanic for 5 days and NSAIDS, pain intensity reduced but did not go completely. I had a rebound of pain on day 6 in the testicle and loin. Ultrasound to kidney showed no stones but the prostate was mildly enlarged and the seminal versicles were dilated too mildly.(But the ultrasound I think I lead the operator as I told him I think I have congestion and so on).. My andrologist examined me but I was in pain, he recommended Testicaular doppler that showed epidydomorchitis in both sides. I started Levofloxacin 500 mg daily and IM Rocephin. Dr says I should remian on levo for at least 14 days. I still feel pain in my lion and tenderness in the testis after 3 days of antibiotics. This situation has recurred 3 times in the past 3 years but always resolved with a short course of antibiotics, this time it is the worst. I always notice that it is percipitated by masturbating too much and by working out. I dont know if this is related. I also wonder if this could be a hernia? My dr first said it could me a small hernia that causes recurrent irriattion to the epidydmis. But the testicular doppler and sonar showed no hernia(see attachments) So you think its just epididmorchitis and I should remain on the antibiotics or do I need more inverstigations (3 days on the antibiotics stilll feel discomfort and loin pain)