Experiencing Blood During Ejaculation: What You Need to Know

Hematospermia (the presence of blood in semen) during ejaculation?

Hello doctor: Due to my circumcision, I have been unable to engage in masturbation.
On the 14th day after the procedure, I noticed improvement and couldn't resist the urge to masturbate.
After much effort, I reached climax and ejaculated, but to my surprise, the first fluid that came out was semen, followed by a significant amount of blood.
What should I do? Am I in danger of dying? Do I need to see a doctor?

Xiao Qiang, 20~29 year old female. Ask Date: 2002/09/20

Dr. Liu Jianting reply Urology

That's terrifying! How could this happen? It may be caused by prostatic congestion; please consult a urologist for examination and treatment.

Reply Date: 2002/09/20

More Info

Experiencing blood during ejaculation can be alarming and may indicate an underlying issue that requires medical attention. In your case, since you recently underwent a circumcision, it's possible that the bleeding is related to the surgical site or the healing process. Here are some important points to consider regarding your situation:
1. Possible Causes of Blood in Semen: The presence of blood in semen, known as hematospermia, can be caused by several factors. These include:
- Injury or Trauma: If the surgical site is still healing, any friction or irritation during ejaculation could lead to bleeding.

- Infection: Infections in the reproductive tract, such as prostatitis or urethritis, can also cause blood to appear in semen.

- Inflammation: Conditions affecting the prostate or seminal vesicles may lead to inflammation and subsequent bleeding.

- Vascular Issues: Abnormal blood vessels or varicose veins in the reproductive system can sometimes rupture and cause bleeding.

2. Severity of the Situation: While the presence of blood can be concerning, it does not necessarily mean that you are in immediate danger. However, significant bleeding, especially if it continues or is accompanied by other symptoms (such as pain, swelling, or fever), should be evaluated by a healthcare professional.

3. When to Seek Medical Attention: It is advisable to see a doctor if:
- The bleeding persists or worsens.

- You experience severe pain or discomfort.

- There are other symptoms such as fever, chills, or unusual discharge.

- You have any concerns about your healing process post-surgery.

4. Potential Tests and Evaluations: A healthcare provider may perform a physical examination and possibly order tests such as:
- Urinalysis: To check for signs of infection or other abnormalities.

- Ultrasound: To visualize the reproductive organs and identify any structural issues.

- Blood Tests: To assess for infection or other underlying conditions.

5. Management and Treatment: Depending on the underlying cause, treatment may vary. If the bleeding is due to irritation from the surgical site, your doctor may recommend rest and avoiding activities that could exacerbate the issue. If an infection is present, antibiotics may be necessary.

6. Preventive Measures: After any surgical procedure, it is crucial to follow your doctor's post-operative care instructions to minimize complications. This includes avoiding strenuous activities, maintaining proper hygiene, and attending follow-up appointments.

In conclusion, while experiencing blood during ejaculation can be concerning, it is essential to assess the situation carefully. Given your recent circumcision, it is likely related to the healing process, but it is always best to err on the side of caution and consult a healthcare professional for a thorough evaluation. They can provide you with the appropriate guidance and treatment to ensure your recovery is on track.

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