What are the symptoms of seminal vesicle inflammation?

Inflammation of the seminal vesicles mainly manifests as ejaculation pain, hematospermia, lower abdominal distension and other symptoms. It is usually caused by bacterial infection, unclean sexual life, prolonged sitting and oppression, decreased immunity or the spread of inflammation in adjacent organs.

1. Ejaculation pain:

Patients with seminal vesiculitis may experience a burning or stinging sensation during ejaculation, and the pain may radiate to the perineum. This is due to inflammation leading to congestion and edema of the seminal vesicle mucosa, and the contraction of smooth muscles during ejaculation aggravates the stimulation. The pain in the acute phase is severe, while in the chronic phase it is mostly dull pain. Frequent sexual stimulation needs to be avoided to relieve symptoms.

2. Symptoms of hematospermia:

Pink or dark red semen is a typical symptom, caused by rupture and bleeding of capillaries in the seminal vesicles due to inflammation. Hematospermia may occur intermittently, and blood clots may be seen in severe cases. It needs to be differentiated from urinary tract tumors. If hematospermia persists for more than two weeks, you should seek medical examination.

3. Lower abdominal discomfort:

Patients often feel swelling in the pubic area or perineum, which worsens after sitting for a long time. Acute inflammation may be accompanied by low-grade fever, while the chronic phase is dominated by dull pain. Symptoms are similar to those of prostatitis, and urinary tract infection may be present at the same time.

4. Urinary tract irritation:

About 30% of patients experience frequent urination, urgency or burning sensation during urination. Because the seminal vesicles are adjacent to the anatomy of the prostate, inflammation can easily spread to the urethra. White secretion may appear at the end of urination, and routine urine examination is required to rule out urinary tract infection.

5. Sexual dysfunction:

Long-term failure to heal may lead to psychosexual dysfunction such as loss of sexual desire, erection difficulties, or premature ejaculation. This is related to the fear caused by pain and the effects of cytokines produced by inflammation on nerve conduction, which requires psychological counseling and treatment.

It is recommended to maintain daily warm water sitz bath for 15 minutes to promote local blood circulation, and avoid activities that compress the perineum such as riding. Eat a light diet, eat more zinc-rich foods such as pumpkin seeds and tomatoes, and limit alcohol and spicy food. Bed rest is required during the acute attack period. If high fever or severe hematospermia occurs, a seminal vesicle ultrasound examination should be performed promptly. Chronic patients can follow the doctor's advice and use microwave physiotherapy to improve symptoms. Regularly review semen routine, and it is recommended to use condoms during treatment to prevent cross-infection.