What are the symptoms of seminal vesiculitis?

Mar 19, 2025 Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
Under normal circumstances, the symptoms of seminal vesiculitis include hematospermia, pain, frequent and urgent urination, difficulty urinating, fever, and so on. In daily life, it is important to maintain personal hygiene, keep the perineal area clean, wash the external genitalia daily, change underwear frequently, avoid bacterial growth, reduce the risk of urinary tract infections, and thereby lower the incidence of seminal vesiculitis.

  Under normal circumstances, symptoms of seminal vesiculitis include hematospermia, pain, frequent and urgent urination, difficulty urinating, fever, and others. If discomfort occurs, timely medical attention is recommended. Detailed analysis is as follows:

  

  1. Hematospermia

  Inflammation within the seminal vesicles causes congestion and edema of the mucous membrane, with rupture of small blood vessels leading to bleeding. Blood mixes with the semen, resulting in hematospermia, characterized by semen appearing pink, red, or containing blood clots during ejaculation.

  2. Pain

  Inflammatory stimulation of the seminal vesicles affects surrounding nerve tissues, causing referred pain. During ejaculation, contraction of the seminal vesicles further aggravates nerve stimulation, potentially causing lower abdominal pain, particularly a distinct heaviness and dull ache in the perineal and inguinal regions, with pain intensifying during ejaculation.

  3. Frequent and Urgent Urination

  Seminal vesiculitis often coexists with other urinary system diseases such as prostatitis. Inflammatory irritation of the urethra may cause symptoms of bladder irritation, including frequent and urgent urination. Additionally, due to the proximity of the seminal vesicles to urinary system organs like the urethra, inflammation can easily spread, affecting normal urethral function.

  4. Difficulty Urinating

  Inflammation of the seminal vesicles causes congestion and swelling of surrounding tissues, compressing the urethra and narrowing the urethral lumen. Patients may experience symptoms of difficult urination, such as a thinner urine stream and slower urine flow.

  5. Fever

  When seminal vesiculitis is severe, the body mounts a stress response to the inflammation. Inflammatory factors stimulate the thermoregulatory center, potentially causing fever with body temperature rising to 38°C or higher, often accompanied by systemic symptoms such as chills and fatigue.

  In daily life, attention should be paid to personal hygiene, maintaining cleanliness of the perineal area, washing the external genitalia daily, changing underwear frequently, preventing bacterial growth, reducing the risk of urinary tract infections, thereby lowering the likelihood of developing seminal vesiculitis.