Patient's question:
I have been experiencing a dull pain in my scrotum recently. Previous check-ups suggested 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 get an erection. Even when touching the 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, the presence of blood in semen does not rule out the possibility of seminal vesiculitis, but it cannot be diagnosed as such. The causes of [seminal vesiculitis] are primarily factors such as phimosis, prostatitis, urinary tract infections, masturbation, and a history of unsafe sex, which lead 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, thereby impacting your fertility and other aspects. It is recommended that you pay attention to hygiene, avoid masturbation, avoid spicy and irritating foods, quit smoking and alcohol, and refrain from sexual activity for 5-7 days before visiting 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!