Blood Clots in Semen After Vasectomy: Is It Normal? - Urology

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Blood clots in semen after a vasectomy?


I have undergone a vasectomy a week ago, and when I manually checked, I noticed blood clots in the semen.
Is this a normal occurrence after the surgery? If it is normal, how long will it take for it to clear up?

JJ, 30~39 year old female. Ask Date: 2019/04/03

Dr. Du Shixi reply Urology


Hello: Theoretically, it should not happen.
I recommend a check-up at the urology clinic.
Wishing you good health.

Reply Date: 2019/04/03

More Info


After a vasectomy, it's not uncommon for patients to notice some changes in their semen, including the presence of blood or blood clots. This can be concerning, but it is often a normal part of the healing process following the procedure.
During a vasectomy, the vas deferens, which carries sperm from the testicles to the urethra, is cut and sealed. This procedure can lead to some trauma in the surrounding tissues, which may result in minor bleeding. The blood can mix with the semen, leading to the appearance of blood clots or a reddish tint. This is typically due to small blood vessels that may have been disrupted during the surgery.

In most cases, the presence of blood in the semen after a vasectomy should gradually decrease over time. It is generally expected that any blood or clots will resolve within a few weeks as the body heals. However, if you notice that the bleeding persists beyond a few weeks, or if it is accompanied by significant pain, swelling, or other unusual symptoms, it is important to consult your healthcare provider. They may want to evaluate you to rule out any complications, such as infection or hematoma (a localized collection of blood outside of blood vessels).

To manage the situation at home, it is advisable to avoid any strenuous activities, heavy lifting, or sexual activity until you have fully healed. This will help minimize any additional trauma to the area and promote healing. Applying ice packs to the area can also help reduce swelling and discomfort.

In summary, while the presence of blood clots in semen after a vasectomy can be alarming, it is often a normal occurrence as the body heals. Most patients will see improvement within a few weeks. However, if symptoms persist or worsen, seeking medical advice is crucial to ensure there are no underlying issues that need to be addressed. Always remember that your healthcare provider is the best source of information regarding your specific situation and can provide personalized guidance based on your recovery progress.

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