A patient comes to the clinic with repeated bouts of epididymitis and is adamant that he always takes the medication he is given. What additional questions should the nurse ask to determine possible causes of epididymitis?
Select all that apply.
1. "Are you sexually active?"
2. "Do you use condoms?"
3. "Do you practice unprotected anal intercourse?"
4. "Do you do any heavy lifting?"
5. "Do you use any drugs or alcohol?"
Correct Answer: 1, 2, 3, 4
Epididymitis is more often seen in sexually active men who are less than 35 years of age. Sexually transmitted urethritis is usually the precipitating factor in younger men. Unprotected anal intercourse is another cause. It may also be associated with prostatitis or a urinary tract infection. Chemical epididymitis may be the problem due to reflux of urine into the ejaculatory ducts with increased abdominal pressure from excessive heavy lifting. Drugs and alcohol are not specific causes of epididymitis.
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