Should You Be Concerned About Blood in Semen After DIY? - Urology

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A bit worried?


Hello doctor, I experienced ejaculation with fresh blood after a DIY activity in May, but my urination was normal and I had no discomfort in my testicles.
After researching online, I did not see a doctor, and after about 10-15 ejaculations, it resolved.
Now, about a month later, I noticed dark red blood clots after ejaculation today (not bright red) and still have no discomfort.
Should I seek medical attention?

Mr. Jiang, 20~29 year old female. Ask Date: 2019/07/14

Dr. Xu Wencang reply Urology


If symptoms persist, you may visit the outpatient clinic for examination and treatment.

Reply Date: 2019/07/14

More Info


Experiencing blood in semen, known medically as hematospermia, can understandably cause concern. While it may not always indicate a serious underlying condition, it is essential to approach this symptom with caution and seek medical advice, especially since you have experienced it more than once.

Hematospemia can result from various causes, ranging from benign to more serious conditions. Some common reasons include:
1. Infection or Inflammation: Conditions such as prostatitis (inflammation of the prostate gland) or epididymitis (inflammation of the epididymis) can lead to blood in the semen. These conditions may also cause discomfort or pain, but sometimes they can be asymptomatic.

2. Trauma: Engaging in vigorous sexual activity or certain forms of sexual stimulation, such as DIY (do-it-yourself) methods, can cause minor trauma to the reproductive organs, leading to bleeding. If this is the cause, the bleeding may resolve on its own, as you have experienced.

3. Vascular Issues: Abnormalities in blood vessels, such as varicoceles or other vascular malformations, can also lead to hematospermia.

4. Benign Prostatic Hyperplasia (BPH): In older men, an enlarged prostate can contribute to bleeding in the semen.

5. Malignancy: Although less common, blood in semen can be a sign of prostate cancer or other malignancies in the reproductive system. This is particularly a concern if there are other symptoms such as weight loss, changes in urinary habits, or persistent pain.

Given that you have experienced blood in your semen multiple times, even without accompanying pain or discomfort, it is advisable to consult a healthcare professional. A urologist would be the most appropriate specialist to evaluate your symptoms. They may perform a physical examination, take a detailed medical history, and possibly recommend tests such as a urinalysis, blood tests, or imaging studies to determine the underlying cause.

In terms of immediate steps, here are some considerations:
- Monitor Symptoms: Keep track of any additional symptoms that may arise, such as pain, changes in urination, or any other unusual signs. This information will be helpful for your healthcare provider.

- Avoid Irritation: If you suspect that the DIY methods may have caused trauma, consider taking a break from those activities until you have consulted with a doctor.

- Stay Hydrated: Drinking plenty of fluids can help flush out the urinary tract and may assist in recovery if there is any minor irritation.

- Seek Medical Attention: If the bleeding persists, worsens, or is accompanied by other concerning symptoms, do not hesitate to seek medical attention promptly.

In conclusion, while hematospermia can sometimes resolve on its own, it is crucial to consult a healthcare provider to rule out any serious conditions and to receive appropriate care. Early intervention can help address any underlying issues and provide peace of mind.

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