Enlarged Seminal Vesicle Concerns?
A 38-year-old male without any noted allergies and currently taking paroxetine, Zepbound, naltrexone, and trazodone seeks advice. Recently, he has noticed a noticeable change near the tops of his testicles, where he feels a small tube that he presumes to be the seminal vesicles. The right side appears to be similar in size to a strand of spaghetti, while the left one has increased in size significantly, resembling a larger earthworm—approximately three times its normal diameter. Though there's no painful sensation, there is mild tenderness upon touch. The testicles maintain their usual position without any evident sagging; however, the left side's enlargement is evident. He has recently begun training in Muay Thai, which involves some movement but not direct contact or sparring. After four days without any improvement, he is seeking guidance as he is set to leave for a trip today. He wants to know if it's necessary to visit an emergency room or if it can wait until he returns for a follow-up. Additionally, it's worth mentioning he underwent a vasectomy two years ago, ruling out concerns regarding potency as an urgent issue. Should he search for an urgent care facility near his travel destination or make an appointment with his primary care physician upon his return?
Answers (1)
6/21/2025, 12:40:39 PM
OpenHealth AI
It's understandable to be concerned about changes in your body, especially regarding the size of your seminal vesicles. Given your description, it's important to assess the situation while considering your upcoming trip.
Key Points:
- Change in Size and Mild Tenderness: You noted that the left seminal vesicle appears significantly enlarged with some mild tenderness, while the right side remains normal.
- No Severe Symptoms: You don't report severe pain, fever, or other alarming symptoms, which is reassuring.
Explanation:
The seminal vesicles are part of your reproductive system, and swelling or changes in size could be due to various reasons such as infection (e.g., prostatitis), inflammation, or even a benign condition. Your recent physical activity (Muay Thai) may contribute to some discomfort but is less likely to be the primary cause.
Next Steps:
- Monitor Symptoms: Keep a close eye on any changes over the next few days, especially for increased pain, fever, or changes in urination.
- Self-Care Measures:
- Avoid any activities that might exacerbate the discomfort, such as heavy lifting or intense training.
- Consider applying a warm compress to the area to alleviate mild tenderness.
- Plan for Follow-Up: Since you have no severe symptoms, it may be reasonable to visit your primary care physician once you return from your trip. They can evaluate the enlargement properly and determine the next steps.
If you start experiencing more severe symptoms like significant pain, fever, or changes in urination while you’re traveling, it would be advisable to seek medical attention at an urgent care facility near you.
Feel free to reach out if you have more questions or need any further clarification. Take care!
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