Hematospermia issues?
Hello, Director.
About ten years ago, I had an issue with hematospermia, which resolved after treatment from a physician.
However, I noticed a recurrence of hematospermia about a year ago.
I have been informed that the recurrence rate is quite high, and since it has been intermittent, I did not seek medical attention actively.
Recently, I have observed that the amount of blood in my semen seems to have increased, especially as it continues to flow after ejaculation.
I visited the hospital for an examination and underwent ultrasound, PSA, and X-ray tests, all of which were normal.
A urine test showed trace blood.
I have been taking Clomipramine and Sustained Release medications for nearly a month, but my condition has not improved significantly.
I would like to ask if there is a need for more detailed examinations.
Should I abstain from sexual activity? If so, for how long?
morino, 50~59 year old female. Ask Date: 2017/03/19
Dr. Du Shixi reply Urology
Hello: In addition to taking medication, I personally recommend avoiding sexual activity if there is any bleeding.
Are you currently taking any cardiology medications? If so, please provide this information for your physician's reference.
An external examination should suffice.
Additionally, please avoid strenuous exercise.
Thank you for your inquiry.
Reply Date: 2017/03/19
More Info
Hematospermia, or the presence of blood in the semen, can be a concerning symptom for many men. It is important to understand that while it can be alarming, it is often not indicative of a serious underlying condition. However, given your history of recurrent hematospermia and the recent increase in the volume of blood, it is prudent to explore this issue further.
Causes of Hematospermia
Hematospermia can arise from various causes, including:
1. Infections: Prostatitis (inflammation of the prostate), epididymitis (inflammation of the epididymis), or sexually transmitted infections can lead to blood in the semen.
2. Trauma: Injury to the genital area or pelvic region can result in bleeding.
3. Vascular Issues: Varicoceles or other vascular abnormalities can lead to hematospermia.
4. Prostate Issues: Conditions such as benign prostatic hyperplasia (BPH) or prostate cancer can also be contributors.
5. Urethral Issues: Urethritis or strictures can cause bleeding.
6. Systemic Conditions: Blood disorders or systemic diseases can sometimes manifest as hematospermia.
Diagnosis
In your case, it is encouraging that initial tests such as ultrasound, PSA (Prostate-Specific Antigen), and X-rays have returned normal results. However, the presence of occult blood in your urine suggests that further investigation may be warranted. Here are some additional diagnostic steps that could be considered:
1. Transrectal Ultrasound (TRUS): This can provide a more detailed view of the prostate and surrounding tissues.
2. Cystoscopy: A direct examination of the urethra and bladder can help identify any abnormalities.
3. MRI or CT Scan: These imaging techniques can be useful in evaluating the pelvic region for any hidden issues.
4. Blood Tests: Further blood tests to evaluate clotting factors or other systemic issues may be necessary.
Treatment Options
The treatment for hematospermia largely depends on the underlying cause. If an infection is identified, antibiotics may be prescribed. If the cause is related to a vascular issue or a benign condition, monitoring may be sufficient. In cases where a more serious condition is suspected, such as prostate cancer, more aggressive treatment options may be necessary.
Lifestyle Considerations
Regarding your question about sexual activity, it is generally advisable to refrain from sexual intercourse until the cause of hematospermia is determined. Engaging in sexual activity may exacerbate any underlying condition or lead to further irritation. The duration of abstinence can vary, but it is typically recommended to wait until you have consulted with your healthcare provider and received appropriate guidance based on your specific situation.
Conclusion
In summary, while hematospermia can often resolve on its own, your history and recent symptoms warrant a thorough evaluation. It is essential to communicate openly with your healthcare provider about your concerns and the changes you have noticed. They can guide you through the necessary diagnostic steps and help determine the best course of action for your health. Remember, early intervention can lead to better outcomes, so do not hesitate to seek further medical advice.
Similar Q&A
Understanding Hematospermia: Causes, Diagnosis, and Treatment Options
I have been experiencing hematospermia for over three weeks! It started with bright red blood and later appeared brownish on several occasions. I found online that hematospermia can take anywhere from two months to two years to resolve, but it may also recur. How would a general ...
Dr. Lin Hexing reply Urology
Hello, Xiao Zhou: The most common condition associated with hemospermia is inflammation of the reproductive tract, which includes epididymitis, orchitis, or vascular diseases, while malignant tumors account for a very small portion of the causes. It is recommended to first perfor...[Read More] Understanding Hematospermia: Causes, Diagnosis, and Treatment Options
Understanding Hematospermia: Causes and Treatment Options
Having blood in the sperm (hematospermia) for the past month can be concerning. There are several potential causes, including infections, inflammation, trauma, or underlying medical conditions. It is important to consult a healthcare professional for a thorough evaluation and dia...
Dr. Xu Wencang reply Urology
Hello: In response to your question, in young individuals, the bleeding is generally caused by inflammation of the seminal vesicles, and prostate cancer is unlikely. Generally, resting more and maintaining a normal lifestyle will lead to improvement. The color will usually gradua...[Read More] Understanding Hematospermia: Causes and Treatment Options
Understanding Hematospermia: Causes, Symptoms, and Treatment Options
What is hematospermia? If there are blood streaks in the semen, does that mean it is hematospermia, and how should it be treated?
Dr. Du Shixi reply Urology
Hematospermia refers to the presence of blood clots (dark red) or blood streaks (bright red) in the semen. The most common causes are chronic inflammation of the prostate or seminal vesicles. Approximately 70% of patients will experience spontaneous resolution. If you notice epis...[Read More] Understanding Hematospermia: Causes, Symptoms, and Treatment Options
Understanding Hematospermia: Causes, Symptoms, and Treatment Options
Hello, Dr. Hsu. About five months ago, I experienced hematospermia, and at that time, I had occasional pain in my left testicle. After researching online, I rested for about a week, avoiding sexual activity and masturbation, and the hematospermia and pain subsided. However, in th...
Dr. Xu Weikai reply Urology
Hello, 1. Epididymitis may lead to the presence of hematospermia. Note: Hematospermia is not a disease, just as fever is not a disease; it is important to investigate the underlying cause of the fever rather than just treating the fever itself. 2. The symptoms, extent of invo...[Read More] Understanding Hematospermia: Causes, Symptoms, and Treatment Options
Related FAQ
(Urology)
Sperm(Urology)
Infertility(Urology)
Hematuria(Urology)
Bleeding(Urology)
Varicocele(Urology)
Semen Analysis(Urology)
Epididymitis(Urology)
Erectile Dysfunction(Urology)
Cryptorchidism(Urology)