Welcome to the forum. Thanks for your question.
This may be one of those questions that can be accurately answered based only on the title. Oral sex, NGU acquired by oral sex, is not known to lead to epididymitis.
Now I have read your question. The extremely brief oral-penile exposures you describe carried virtually no risk of any STD. And your symptoms are not epididymitis, which does not cause the vague, on and off, highly localized testicular pain you describe. It only causes unilateral pain (a single testicle) that is also swollen, abnormally firm and hard feeling, and very tender to touch. The "small lumps" you feel probably are entirely normal, part of the epididymis, which is easily felt in all men. Also, sexually transmitted epididymitis usually has overt urethritis, i.e. discharge of pus or mucus from the penis.
Vague symptoms (your term) of this sort usually are a reflection of genitally focused anxiety, which is very common following sexual exposures that cause regret, shame, or guilt -- which would seem to apply here. If your symptoms continue, I would suggest you be professionally evaluated. But from all you say, I expect nothing to be found, which should be reassuring.
In the meantime, I would advise that if you have a regular sex partner, you can safely continue unprotected sexual relations without putting that person at risk for any STD. That's what I would do, if I somehow found myself in your circumstances.
I hope this has been helpful. Best wishes-- HHH, MD
HHH, thank you for your reply. I have read many of your posts and other work you have done. Your comments are accurate and reassuring. After my exposure. I first thought I had herpes. nothing ever showed up. Went to the doctor twice in three weeks. Once he reassured me I didn't have herpes, I began feeling this pain behind the testicle. online searching lead me to epididymitis caused by chlamydia or gonorrhea. I'm hoping this is anxiety. I had an ultrasound done a few days ago and am waiting for the results.
HHH, one more comment is that my pain/discomfort that is on and off as you stated is way more on than off. almost constant. sometimes when I am heavily involved in my work or a movie I stop feeling it. maybe because i'm focused on something else at that moment. Do I get a follow up question??
This pain pattern is exactly typical for genitally focused anxiety, not epididymitis or any other infection or physical abnormality.
HHH, thank you for the response. Apology for harping on a self diagnosis. Fear, pain, and anxiety are a terrible mix. I slept well last night for the first time in three weeks. thanks for that. I'm getting over the idea of not having an STD. However, is there a possible medical reason that would stand out in your mind as to what would cause the pain behind the testicle. also, the right half of my scrotum hands lower than the left and the testicle is in a slightly different position than the left. seems to be set back further on the right. The testicle does not feel swollen to me, but the right side of the scrotum is visibly larger than the left.
I'm glad to have helped ease your anxieties.
One testicle always hangs lower; that's normal in all adults males. (In the custom tailor industry, the tailor asks the customer "Do you dress right or left?", meaning which side of the seam to allow a bit more room for the genitals.) And there certainly is no other medical problem that comes to mind from your description.
If you remain concerned, you'll need to be examined professionally -- if not right away, perhaps at your next routine medical visit, whenever that might come up.
Dr. I finally got my ultrasound results back. my doctor says there were a couple of small cysts but can't say why they are causing pain. I'm happy with your thoughts on this and my doctors as well. One final question, is an ultrasound a proven method of finding epididymitis?
Ultrasound is not a standard method to diagnose epididymitis-- and in any case, I have no experience with it. I'm sure the cysts that were found have nothing to do with the pain you have had, and I'm equally sure you don't have epididymitis and that your pain isn't due to any infection from the sexual events described above.
That ends this thread. I won't have any further comments.