Epididymitis in Men

Explain your symptoms or tell us how we can help today.*

Do you have allergies to any medications?*

If yes, please list any medications you have allergies to:

What symptoms have you been experiencing recently?*

Please best explain the description of fever or chills:*

Unfortunately we cannot proceed with your request based on the information you have provided.

How Long have you been having these symptoms?*

Have you ever been treated for epididymitis in men?*

How long ago?*

What medications were you treated with?*

Please list the treatment plan:*

Did treatment work?*

Would you prefer the same treatment?*

Smoker?*

Alcohol use?*

Any medical family history?*

Please explain your medical family history:*

Do you have any medical conditions?*

Please explain your medical conditions:*

Have you ever had any surgeries or recent hospitalizations?*

Please explain your surgeries or recent hospitalizations:*

Do you currently take any medications, herbals, or supplements?*

Please list any medications, herbals, or supplements:*

Do you have a urinary catheter or foley catheter?*

Scan/Upload any Relevant Medical Images:

Max. file size: 32 MB.

Phone

This field is for validation purposes and should be left unchanged.

Consultation