The signs and symptoms of epididymitis depend on the cause. They can include:

• A tender, swollen, red or warm scrotum
• Testicle pain and tenderness, usually on one side — the pain may get worse when you have a bowel movement
• Painful urination or an urgent or frequent need to urinate
• Painful intercourse or ejaculation
• Chills and a fever that can last up to six weeks
• A lump on the testicle
• Enlarged lymph nodes in the groin (inguinal nodes)
• Pain or discomfort in the lower abdomen or pelvic area
• Discharge from the penis
• Blood in the semen

Chronic epididymitis
Signs and symptoms of epididymitis usually develop over a day or two and get better with treatment. In some cases, epididymitis may not clear up completely, or may recur. This is known as chronic epididymitis. Symptoms of chronic epididymitis may come on gradually. Sometimes the cause of chronic epididymitis is not identified.