Blood in Semen: Causes and When to Seek Help

Hematospermia

Hello doctor, after my most recent ejaculation, I noticed red blood in my semen, with the blood concentrated in the later part of the ejaculation.
The earlier part did not have any blood.
On a previous occasion, I observed that my milky white semen had some yellowish semen mixed in, but it returned to normal afterward.

ABC, 20~29 year old female. Ask Date: 2021/06/10

Dr. Xu Wencang reply Urology

You can visit the outpatient clinic for examination and treatment.

Reply Date: 2021/06/10

More Info

Blood in semen, also known as hematospermia, can be a concerning symptom for many individuals. It is important to understand the potential causes and when to seek medical attention. The presence of blood in semen can arise from various sources within the male reproductive system, including the prostate, seminal vesicles, or urethra.
One of the most common causes of hematospermia is inflammation or infection in the prostate gland (prostatitis) or seminal vesicles. These conditions can lead to irritation and bleeding, which may manifest as blood in the semen. Other possible causes include trauma to the genital area, such as from vigorous sexual activity or injury, which can also result in bleeding. Additionally, benign conditions like cysts or calculi (stones) in the reproductive tract can contribute to this symptom.

In some cases, blood in semen can be associated with more serious conditions, such as sexually transmitted infections (STIs), tumors, or other malignancies. Therefore, it is crucial to monitor the situation closely. If the occurrence of blood in semen is isolated and resolves quickly, it may not be a cause for alarm. However, if it persists, recurs, or is accompanied by other symptoms such as pain, swelling, or changes in urination, it is essential to seek medical evaluation.

When you notice blood in your semen, consider the following steps:
1. Monitor Symptoms: Keep track of any additional symptoms that may arise, such as pain during ejaculation, fever, or changes in urinary habits. This information can be valuable for your healthcare provider.

2. Avoid Sexual Activity: If you experience bleeding, it may be wise to refrain from sexual activity until you have consulted with a healthcare professional. This can help prevent further irritation or injury.

3. Seek Medical Attention: If the blood in semen persists for more than a few days, or if you experience significant pain, swelling, or other concerning symptoms, it is important to consult a healthcare provider. They may perform a physical examination and recommend tests such as a urinalysis, blood tests, or imaging studies to determine the underlying cause.

4. Discuss Medical History: Be prepared to discuss your medical history, including any previous infections, surgeries, or trauma to the genital area. This information can help your doctor make an accurate diagnosis.

5. Consider Lifestyle Factors: Factors such as stress, heavy alcohol consumption, or certain medications can also contribute to reproductive health issues. Discussing these factors with your healthcare provider can provide additional insights.

In summary, while blood in semen can be alarming, it is not always indicative of a serious condition. However, due to the potential range of causes, it is essential to approach this symptom with caution. Monitoring your symptoms and seeking medical advice when necessary can help ensure that any underlying issues are addressed promptly and effectively. Remember, your health is paramount, and proactive engagement with healthcare professionals is key to maintaining it.

Similar Q&A

Understanding Blood in Semen: Causes and When to Seek Help

Hello Doctor, I have been feeling unwell this week due to a cold (without seeking medical attention or taking medication). However, I couldn't help but masturbate once around midnight on Saturday. The next day, I woke up and masturbated again around 11 AM on Sunday, and I no...

Dr. Du Shixi reply Urology
Hello: The presence of blood in semen requires a consultation with a urologist. In the meantime, it is advisable to drink plenty of water, maintain a balanced diet, and engage in moderate exercise. Thank you for your inquiry.

Blood in Semen: Understanding the Causes and When to Seek Help

I noticed blood in my semen during ejaculation, and I'm not sure if this is serious!

Dr. Zhang Chengye reply Urology
Hello: It may be prostatitis; it is best to visit the outpatient clinic for an examination. Sincerely, Urology Department, Hsinchu Hospital, Ministry of Health and Welfare.

Understanding Hematospermia: Causes and Concerns in Urology

Hello, I would like to ask what causes blood in semen? Thank you.

Dr. Liu Jianting reply Urology
The presence of blood in semen can be alarming. In most young individuals, it is often caused by inflammation, but there are other possibilities as well. It is advisable to visit a hospital and consult a urologist for an examination.

Understanding Blood in Semen: Causes and Concerns for Urology Patients

I'm not sure if it's due to excessive masturbation recently, which may have caused insufficient stimulation, leading to prolonged sessions that eventually made my abdomen feel a bit uncomfortable. Later, I noticed blood in my semen. Now, I feel strange overall, and I&#x...

Dr. Xu Weikai reply Urology
Xiao Jun: Hello, the presence of blood in the semen is generally caused by vigorous activity, which can lead to ruptured blood vessels. Typically, this will resolve on its own within three days and does not require special treatment. However, if it persists beyond three days or i...