What to Do First If You Notice Blood in Your Semen?

Q: What to Do First If You Notice Blood in Your Semen?

Hello： There's no rush, but you should find time to visit the urology department for an evaluation. <br>Some individuals may experience recurrence. <br>If the color is dark rather than bright red, there's no need to be overly concerned. <br>Additionally, avoid pressure on the per

The first step in addressing hematospermia (blood in semen) should be to consult a healthcare professional for a thorough evaluation and diagnosis?

Hello doctor, I noticed blood in my semen during DIY yesterday.
What should I do first? I haven't had a sexual partner in the past six months; what could be the reason for this? Do I need to see my family doctor today? Thank you.

Xiao Sheng, 40~49 year old female. Ask Date: 2019/02/23

Dr. Du Shixi reply Urology

Hello: There's no rush, but you should find time to visit the urology department for an evaluation.
Some individuals may experience recurrence.
If the color is dark rather than bright red, there's no need to be overly concerned.
Additionally, avoid pressure on the perineal area, such as from cycling.
Try to avoid spicy foods and alcohol as well.
Wishing you good health.

Reply Date: 2019/02/23

More Info

If you notice blood in your semen, a condition known as hematospermia, it can understandably be alarming. The first step you should take is to remain calm. Blood in semen can be caused by a variety of factors, some of which are benign, while others may require medical attention.

1. Assess Your Symptoms: Take note of any additional symptoms you may be experiencing. Are you having pain during ejaculation, discomfort in the pelvic area, or any urinary symptoms such as burning or increased frequency? These details can help your healthcare provider determine the underlying cause.

2. Consider Recent Activities: Reflect on any recent activities that might have contributed to this condition. For instance, have you engaged in any vigorous sexual activity, experienced trauma to the genital area, or had any recent medical procedures? Sometimes, minor injuries or irritation can lead to temporary bleeding.

3. Timing: If the blood in your semen is a one-time occurrence and you do not have any other concerning symptoms, it may not be an immediate cause for alarm. However, if the condition persists for more than a few days, or if you notice a significant amount of blood, it is advisable to seek medical attention.

4. Consult a Healthcare Provider: Given that you have not had a sexual partner in the last six months, it is important to consult with your family doctor or a urologist. They can perform a thorough evaluation, which may include a physical examination, urine tests, and possibly imaging studies to rule out any serious conditions such as infections, inflammation, or tumors.

5. Possible Causes: Hematospermia can be caused by several factors, including:
- Infections: Prostatitis (inflammation of the prostate), sexually transmitted infections, or urinary tract infections can lead to blood in the semen.

- Trauma: Injury to the genital area can cause bleeding.

- Inflammation: Conditions like epididymitis or prostatitis can result in hematospermia.

- Vascular Issues: Abnormal blood vessels in the reproductive system can also lead to bleeding.

- Tumors: Though less common, tumors in the prostate or seminal vesicles can cause blood to appear in semen.

6. Avoid Self-Diagnosis: While it can be tempting to search for answers online, it is crucial to avoid self-diagnosing. Many conditions can present similarly, and only a healthcare professional can provide an accurate diagnosis and appropriate treatment.

7. Follow-Up: If your doctor recommends further tests or treatments, be sure to follow through. Early intervention can be key in managing any underlying issues effectively.

In summary, while blood in semen can be concerning, it is not always indicative of a serious problem. Take note of any accompanying symptoms, consult with a healthcare provider, and follow their recommendations for further evaluation and management. Your health and peace of mind are important, so don't hesitate to seek help.

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