Blood in Semen: Causes and When to Seek Medical Attention

Blood in semen?

I previously experienced sudden testicular pain that lasted for about 3-4 hours.
I thought it was nothing serious, but recently I've been having persistent mild pain in my testicles.
Sometimes the pain radiates to my abdomen, and I've noticed that there seems to be blood in my semen, which is dark red.
What should I do?

Xiao Cai, 10~19 year old female. Ask Date: 2016/05/04

Dr. Li Xinyi reply Urology

Frequent sexual activity may indicate a loss of balance in life.
Overall, it is not advisable, especially since you are still young and your puberty has not yet ended.
Both your physical and mental health are important, and transitioning into adulthood should be done gracefully.
It is recommended to reduce the frequency and ensure adequate rest.
The presence of blood in the semen is usually benign, but if you have concerns, it is advisable to consult a urologist for an examination and discuss it with your physician.

Reply Date: 2016/05/04

More Info

Blood in semen, known medically as hematospermia, can be concerning and may arise from various causes. Given your symptoms of persistent pain in the testicles and the presence of dark red blood in your semen, it is essential to seek medical attention promptly. Here’s a comprehensive overview of potential causes, implications, and when to seek help.

Potential Causes of Blood in Semen
1. Infection or Inflammation: Conditions such as prostatitis (inflammation of the prostate gland), epididymitis (inflammation of the epididymis), or urethritis (inflammation of the urethra) can lead to blood in semen. These infections may also cause pain in the testicles and lower abdomen.

2. Trauma: Any injury to the genital area, whether from sports, accidents, or medical procedures, can result in bleeding.

3. Vascular Issues: Varicoceles (enlarged veins in the scrotum) or other vascular abnormalities may contribute to blood in the semen.

4. Benign Prostatic Hyperplasia (BPH): In older men, an enlarged prostate can lead to bleeding, especially if there is associated inflammation.

5. Prostate Conditions: Conditions such as prostate cancer or benign prostate disease can also cause hematospermia, particularly in older men.

6. Systemic Conditions: Certain systemic diseases, including hypertension and clotting disorders, can lead to bleeding in various parts of the body, including the reproductive system.

7. Tumors: Rarely, tumors in the reproductive tract can cause bleeding.

When to Seek Medical Attention
Given your symptoms of persistent testicular pain and the presence of blood in your semen, it is crucial to seek medical attention as soon as possible. Here are specific indicators that warrant immediate medical evaluation:
- Persistent Pain: If the pain in your testicles continues or worsens, it is essential to consult a healthcare provider.

- Blood in Semen: The presence of blood, especially if it is dark red or accompanied by other symptoms, should be evaluated.

- Accompanying Symptoms: If you experience additional symptoms such as fever, chills, difficulty urinating, or swelling in the testicles, seek medical care immediately.

- Duration: If the symptoms persist for more than a few days without improvement, it is advisable to see a doctor.

What to Expect During a Medical Evaluation
When you visit a healthcare provider, they will likely perform a thorough evaluation, which may include:
- Medical History: Discussing your symptoms, duration, and any potential injuries or infections.

- Physical Examination: A physical exam focusing on the genital area to check for swelling, tenderness, or abnormalities.

- Diagnostic Tests: Blood tests, urine tests, and possibly imaging studies (like an ultrasound) may be conducted to determine the underlying cause.

Conclusion
Blood in semen can be a sign of various underlying conditions, some of which may require prompt treatment. Given your symptoms of persistent pain and the presence of blood, it is essential to seek medical attention as soon as possible. Early diagnosis and treatment can help address any potential issues effectively and prevent complications. Remember, it is always better to err on the side of caution when it comes to your health.

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