Patient's question:
I have been experiencing a persistent, dull pain in my scrotum recently. Previous check-ups indicated it was epididymitis. Later, the pain suddenly stopped, as if nothing had happened. However, I noticed I have significantly lost libido and find it difficult to achieve an erection. Even when touching my scrotum and foreskin, it feels detached from me, with no sensation at all. What could be going on? Is this impotence? If it is impotence, do I need to be hospitalized?Doctor's answer:
Hello, blood in the semen does not rule out the possibility of seminal vesiculitis, but it cannot be diagnosed. The causes of [seminal vesiculitis] are mainly factors such as prolonged foreskin, prostatitis, urinary tract infections, masturbation, and a history of unsafe sex, leading to bacterial infections of the seminal vesicles. Its clinical symptoms mainly include hematospermia, pain, and other discomforts, as well as abnormal urination. Delayed treatment can affect the quality of semen, which in turn can affect your fertility. It is recommended that you pay attention to hygiene, avoid masturbation, avoid spicy and irritating foods, quit smoking and drinking, and refrain from sexual activity for 5-7 days before going to the hospital for tests such as semen analysis and bacterial culture of secretions. After identifying the specific cause, actively cooperate with the doctor's treatment. Wishing you good health!