Patient's question:
Severe asthenozoospermia, treated unsuccessfully at multiple hospitals. History of seminal vesiculitis, treated successfully with hematospermia not recurring for two years. Recent examination reveals incomplete liquefaction of semen and low semen volume. Upon sexual arousal, a translucent mucus flows from the urethral orifice, and the penis becomes soft immediately after the mucus is released. The urethral orifice shows signs of bleeding.Doctor's answer:
Based on the situation you described above and the observations from the images, a comprehensive analysis suggests that the 39-year-old male with asthenozoospermia has not responded well to multiple treatment attempts. Additionally, he experiences symptoms such as nonliquefying semen, viscous secretions from the urethral orifice during sexual arousal, and hematuria of the urethral orifice. In your case, it is essential to first consider a definitive diagnosis of chronic prostatitis. It is highly likely that chronic prostatitis is the primary cause of nonliquefying semen and asthenozoospermia. Therefore, treating chronic prostatitis is the fundamental approach to addressing the condition. In addition to medication for treating male-related conditions, the patient should also pay attention to dietary aspects.