Blood in Urine After Masturbation: What You Need to Know

During masturbation, I feel like something is about to come out?

Hello, last week I experienced blood during masturbation, and although it didn't hurt much, when I went to the bathroom later, I noticed that my urine was completely blood-red.
Towards the end, I passed out 1 or 2 pieces that felt like blood clots, but then everything returned to normal and there was no pain.
This past week, my health has been fine, and my bathroom visits have been normal.
However, today I couldn't resist masturbating again, and during the process, I suddenly felt something pushing out, which was not the sensation of ejaculation.
I got scared and stopped immediately.
After a while, when I went to the bathroom, I again noticed blood and blood clots in my urine, but then everything returned to normal as if nothing had happened.
I was thinking of going to a large hospital for an examination, but the urology department doesn't have any appointments available at this time.
I wanted to ask for your opinion on what these symptoms might be.
Thank you for your help.

Niming, 20~29 year old female. Ask Date: 2018/07/20

Dr. Sun Hongshun reply Urology

Based on your inquiry, it is possible that you may have acute prostatitis or a rupture of the small blood vessels in the prostate.
It is advisable to visit a hospital for an examination.
This will also provide you with peace of mind.
If necessary, the use of antibiotics or hemostatic agents may be required.

Reply Date: 2018/07/20

More Info

Experiencing blood in urine, especially after masturbation, can be concerning and may indicate an underlying issue that needs to be addressed. The symptoms you describe, including the presence of blood and blood clots in your urine, warrant careful consideration and potentially further investigation. Here’s a breakdown of what could be happening and what steps you might consider taking.

Possible Causes of Hematuria (Blood in Urine)
1. Trauma or Injury: Engaging in vigorous sexual activity or masturbation can sometimes lead to minor trauma in the genital or urinary tract area. This could result in bleeding, especially if there are any pre-existing conditions or if excessive force was used.

2. Infection: Urinary tract infections (UTIs) can cause hematuria. Although you mentioned that you do not feel pain, some infections can be asymptomatic or present with mild symptoms.
3. Prostate Issues: In males, conditions affecting the prostate, such as prostatitis (inflammation of the prostate) or benign prostatic hyperplasia (BPH), can lead to blood in the urine.
4. Kidney Stones: The presence of kidney stones can cause bleeding as they move through the urinary tract. This can sometimes be accompanied by pain, but not always.

5. Vascular Issues: Conditions affecting blood vessels in the urinary tract can lead to bleeding.
6. Other Medical Conditions: Conditions such as glomerulonephritis (inflammation of the kidney's filtering units) or tumors in the urinary tract can also cause hematuria.

Recommendations for Management
1. Seek Medical Attention: It is crucial to consult a healthcare professional, preferably a urologist, as soon as possible. While you mentioned that there are no available appointments, consider visiting an urgent care facility or an emergency room if the symptoms persist or worsen.

2. Avoid Further Irritation: Until you can be evaluated by a doctor, it may be wise to avoid activities that could further irritate the urinary tract, including masturbation.

3. Hydration: Drink plenty of fluids to help flush out your urinary system. This can sometimes help clear minor irritations or infections.

4. Monitor Symptoms: Keep track of any additional symptoms that may arise, such as pain, changes in urination frequency, or fever. This information will be helpful for your healthcare provider.

5. Avoid Self-Diagnosis: While it’s tempting to search for answers online, self-diagnosing can lead to unnecessary anxiety or misinterpretation of symptoms. A healthcare professional can provide a proper diagnosis and treatment plan.

Conclusion
Blood in urine, especially following sexual activity, should not be ignored. While it may resolve on its own, it is essential to determine the underlying cause to prevent potential complications. Make it a priority to see a healthcare provider for a thorough evaluation. They may recommend tests such as urinalysis, imaging studies, or other diagnostic procedures to identify the cause of your symptoms. Your health and well-being are paramount, and timely medical intervention can make a significant difference.

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