Is a small amount of dark red semen indicative of seminal vesiculitis?

Patient's question:

These days, I've been feeling very uncomfortable. I've noticed that every time I go to the bathroom, my urine is slightly reddish, and it's also very difficult to urinate. This morning, I noticed a small amount of dark red semen in my underwear. Am I suffering from seminal vesiculitis?

Doctor's answer:

It's possible that it could be epididymitis, but it could also be other conditions that might cause similar symptoms. For example, accidental friction or damage to the glans penis could lead to a small amount of broken tissue, which might also manifest as dark red discharge in underwear. You can carefully observe the color of the semen during ejaculation. If there is noticeable blood in the semen, it could be considered epididymitis, and treatment with anti-inflammatory medication may be necessary.

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