Patient's question:
I just found out that I have seminal vesiculitis.Doctor's answer:
Prostatitis is one of the common infectious diseases in men, with an incidence peak in the age range of 20 to 40 years. The main clinical manifestation is hematospermia, but it can be classified as acute or chronic, with significant individual variations.Guidelines:
(1) Use appropriate antibiotics
For acute prostatitis, treatment should continue for 1 to 2 weeks after symptoms completely disappear. For chronic prostatitis, medication should be taken for more than 4 weeks to consolidate the therapeutic effect. Based on our experience, intravenous administration of Cefadroxil (a second-generation cephalosporin) and Ofloxacin (a quinolone) has shown good results.
(2) Local treatment
Administer 20 mL of 1‰ berberine enema after defecation, then soak a gauze pad with the solution and place it in the perineal area, connecting it to the positive electrode of a direct-current physiotherapy device. The negative electrode should be applied to the pubic bone. Each session lasts 20 minutes, performed once daily, with 10 sessions constituting one course. Warm sitz baths (water temperature 42°C) and heat application to the perineal area can improve local blood circulation and help resolve inflammation. Avoid prolonged sitting to prevent pelvic congestion.
(3) Rest in bed
Administer laxatives to ensure regular bowel movements.
(4) Avoid excessive sexual activity
To reduce congestion in the sexual organs, patients with chronic prostatitis can undergo regular (1 to 2 times per week) massage of the seminal vesicles and prostate. This promotes blood circulation in the prostate and seminal vesicles and facilitates the expulsion of inflammatory substances.
(5) Establish a regular lifestyle
Balance work and rest, and avoid smoking, alcohol, and spicy, irritating foods.
(6) Provide psychological support
Address patients' concerns, especially those with hematospermia, to boost their confidence in overcoming the disease.
(7) For hematospermia treatment
Ethinyl estradiol (1 mg) and prednisone (5 mg) can be taken orally three times daily for 2 to 3 weeks, which often stops hematospermia.
It should be noted that prostatitis, particularly chronic prostatitis combined with chronic prostatitis, tends to be prolonged. Persistence in treatment is essential, as losing confidence and allowing the condition to worsen can lead to delayed treatment and complications such as secondary infertility, leaving lifelong regrets.