Spermatorrhea can be confirmed by the following methods: first, transabdominal ultrasound. Second, transrectal ultrasound. Third, MRI of the seminal vesicle gland can be done, or further, imaging of the seminal vesicle gland can be done. Through these methods, the diagnosis of seminal vesiculitis can usually be clarified. The main problem is the pain in the lower abdomen and perineum, and the chronic pain in the pubic bone. 2. It is important to note that vesiculitis is usually associated with hematospermia, with pink or red semen, some with blood clots, and acute hematospermia is more obvious. In addition, there are some combined fever and chills, which are also typical of the acute manifestations of vesiculitis. In addition, painful ejaculation, low libido, and premature ejaculation may also be present.