Blood During Masturbation: Should You Be Concerned? - Urology

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Bleeding during masturbation?


Hello, doctor.
I would like to ask about a previous experience I had with hematospermia.
After resting for a few days, it resolved.
However, a few days ago, I noticed some blood coming from the urethral opening during an erection while masturbating.
Is this a medical condition? Should I seek medical attention?

A-Hui, 20~29 year old female. Ask Date: 2016/09/17

Dr. Sun Hongshun reply Urology


Hello, you have experienced bleeding more than twice.
Please visit the urology clinic for evaluation as soon as possible.

Reply Date: 2016/09/17

More Info


Experiencing blood during masturbation, particularly from the urethra, can understandably cause concern. This phenomenon, known as hematospermia (blood in semen), can occur for various reasons, and while it is not always indicative of a serious medical condition, it is essential to approach the situation with caution.

Firstly, it is important to differentiate between blood in semen and blood from the urethra. Hematospermia can be caused by several factors, including infections, inflammation, trauma, or even benign conditions such as prostate issues. In some cases, it may be related to recent sexual activity or vigorous masturbation, which can lead to minor trauma in the genital area. If you have previously experienced blood in your semen and it resolved after a few days, it may have been a temporary issue related to similar causes.

However, the presence of blood from the urethra during masturbation is a different concern. This could indicate a more significant issue, such as:
1. Infection: Urinary tract infections (UTIs) or sexually transmitted infections (STIs) can cause bleeding. Symptoms may include pain during urination, frequent urges to urinate, or unusual discharge.

2. Trauma: If there has been any recent injury to the genital area, this could lead to bleeding. This could be from vigorous sexual activity, accidents, or even certain medical procedures.

3. Prostate Issues: Conditions affecting the prostate, such as prostatitis (inflammation of the prostate) or benign prostatic hyperplasia (BPH), can lead to bleeding. These conditions are more common in older men but can occur at any age.

4. Urethral Stricture: A narrowing of the urethra can lead to bleeding, especially if there is a history of trauma or infection.

5. Other Medical Conditions: In rare cases, bleeding can be a sign of more serious conditions, such as tumors in the reproductive or urinary tract.

Given your symptoms, it is advisable to seek medical attention, especially if the bleeding persists, is accompanied by pain, or if you notice any other unusual symptoms. A healthcare professional can perform a thorough evaluation, which may include a physical examination, urinalysis, and possibly imaging studies to determine the underlying cause of the bleeding.

In the meantime, it is essential to avoid any activities that may exacerbate the issue, such as vigorous masturbation or sexual intercourse, until you have consulted with a healthcare provider. Keeping track of any additional symptoms, such as changes in urination, pain, or discharge, can also be helpful for your doctor.

In summary, while occasional blood during masturbation may not always indicate a serious problem, the presence of blood from the urethra warrants further investigation. It is always better to err on the side of caution and consult with a healthcare professional to ensure your health and well-being.

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