Why is there blood in your semen
An article on the meaning, causes, symptoms, tests and treatment of hematospermia or hemospermia- blood in semen.
This term refers to a condition in which the ejaculated semen is blood-stained; it may be rosy coloured (fresh blood)
or brown to black (old blood). Occasionally hemospermia is associated with haematuria or enlarged epididymis.
It may disappear spontaneously or be recurrent or last for long periods. Most patients are under 40 years. In older patients it may be a symptom of prostate cancer.
In the majority of cases no cause can be found after thorough urological investigations including cysto-urethroscopy.
The possible causes include:
Associated symptoms may include:
This includes thorough clinical history and examination to exclude the conditions mentioned above. Urine and blood examinations as for haematuria, VDRL, microscopy, culture and sensitivity of urethral smear after prostatic massage and semen analysis for blood are done.
Transrectal ultrasound helps to detect lesions of the seminal vesicles and prostate (calculi, cysts, tumours, inflammatory changes, varices). Urethrocystoscopy should be performed in all cases to exclude conditions of the urethra, prostate and bladder. PSA and MRI may also be helpful especially for men 40 years and above.
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This consists of advice on sexual habits, tecatment of any underlying cause, (eg. fulguration of granulomata of the urethra and long-term antibiotic therapy in those with urethritis and occasionally urethral dilatation, internal urethrotomy or urethroplasia for urethral stricture) and reassurance of those in whom no cause is found.
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This post was last modified on March 5, 2020 4:37 am
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