The male reproductive system is a complex network of organs responsible for sexual function and sperm production. Among these organs are the seminal vesicles, which play a crucial role in semen composition. However, these vesicles are susceptible to inflammation, a condition known as seminal vesiculitis. This urological issue primarily affects men aged 20 to 45 and can have significant implications for male fertility.
What Causes Seminal Vesiculitis?
Seminal vesiculitis occurs when the seminal vesicles, located adjacent to the prostate, become inflamed. This inflammation is often accompanied by blood in the semen and can persist, impacting male fertility. Seminal vesiculitis frequently coexists with prostatitis and can involve both testicles. Several factors contribute to the development of this condition:
Pathogen Infection
Bacterial infections are the primary cause of seminal vesiculitis. However, other pathogens such as mycoplasma, chlamydia, fungi, and gonococcus can also trigger the condition. These pathogens can invade the seminal vesicles via the urethra, prostate, bloodstream, or vas deferens, leading to infection and inflammation.
Misuse of Antibiotics
Improper use of antibiotics for conditions like prostatitis or urethritis can allow residual pathogens in the vas deferens or urethra to proliferate, leading to recurrent episodes of seminal vesiculitis.
Reduced Immunity
Factors such as smoking, excessive alcohol consumption, frequent masturbation, high sexual activity, sleep deprivation, and prolonged sitting can weaken the immune system, making it easier for pathogens to spread to the scrotum via the vas deferens, lymphatic system, or bloodstream.
Seminal Fluid Retention
Sexual excitement without ejaculation or prolonged abstinence can lead to the retention of seminal fluid in the organs, creating an environment conducive to bacterial growth and infection.
Impact on Male Fertility
Seminal vesiculitis can significantly impact male fertility due to its effects on semen composition:
Altered Semen Composition
Inflammatory factors disrupt the normal composition of seminal plasma, affecting sperm nutrition and development, thereby reducing sperm motility and hindering fertility.
Increased Semen Viscosity
Enzyme secretion from the seminal vesicles is compromised, resulting in increased semen viscosity and impaired sperm motility. Concurrent prostatitis can exacerbate this issue, further altering semen composition and potentially causing sperm death.
Abnormal Sperm Count
Inflammation-induced nutrient reduction may lower sperm count, and increased seminal plasma secretion can dilute the semen, diminishing fertility.
Treatment and Prevention
Antibiotics are commonly prescribed to treat seminal vesiculitis, with the specific antibiotic chosen based on the identified pathogen's sensitivity. Traditional Chinese medicine, such as the Diuretic and Anti-inflammatory Pill, can also be effective in alleviating symptoms and addressing underlying causes.
Preventive measures include regular exercise to boost immunity, controlling sexual activity frequency, avoiding spicy foods, staying hydrated, and promptly treating related conditions like epididymitis and prostatitis.
The seminal vesicles play a vital role in male fertility, and any damage or inflammation can have serious consequences. Therefore, prompt treatment and preventive measures are crucial for maintaining reproductive health and preserving fertility.
