Hematospermia: Treatment Success and Ongoing Symptoms - Internal Medicine

More Info

---

Hematospermia, or the presence of blood in semen, can be a concerning symptom for many men. It is often associated with various underlying conditions, and understanding the causes, treatment options, and when to seek further medical attention is crucial for effective management.

In your case, it appears that your hematospermia has been diagnosed as a result of seminal vesiculitis, which is an inflammation of the seminal vesicles. This condition can lead to the presence of blood in the semen, and while it is often benign, it can cause anxiety and discomfort. Let’s address your questions one by one.

1. Why was the blood not detected in the semen analysis?
The presence of blood in semen can sometimes be subtle, and it may not always be detected in routine semen analysis, especially if the amount is minimal. The tests typically focus on the overall health of the sperm and the presence of infections or abnormalities. If the blood is not in significant quantities or if it is mixed in a way that does not affect the overall sample, it might not be flagged as a concern. Additionally, the timing of the sample collection in relation to the bleeding episode can also affect the results.

2. Is it normal to still have bleeding after six weeks, and how long should I observe before seeking further evaluation?
While it is not uncommon for symptoms to persist for several weeks after an initial diagnosis of inflammation, ongoing bleeding should not be ignored. If you continue to see blood in your semen after completing the course of antibiotics, it is advisable to follow up with your healthcare provider. They may recommend further investigations, such as imaging studies (like an ultrasound) or additional laboratory tests, to rule out other potential causes such as infections, cysts, or even more serious conditions. Generally, if symptoms persist beyond four to six weeks, or if they worsen, it is prudent to seek further evaluation.

3. What about the pain in the lower penis and left testicle? Should I seek further evaluation?
The discomfort you describe in the lower penis and left testicle could be related to the inflammation or irritation caused by the seminal vesiculitis. However, persistent or worsening pain, especially if it is accompanied by other symptoms such as fever, swelling, or changes in urination, warrants further investigation. It is essential to differentiate between benign discomfort and symptoms that may indicate a more serious condition, such as epididymitis or testicular torsion. If the pain persists or increases in severity, I recommend consulting your healthcare provider for a thorough examination.

In summary, while hematospermia can often resolve with treatment for underlying conditions like seminal vesiculitis, ongoing symptoms should be monitored closely. It is essential to maintain open communication with your healthcare provider and report any changes in your symptoms. They can guide you on the appropriate next steps, which may include further diagnostic testing or referrals to specialists if necessary.

In the meantime, ensure you are staying hydrated, practicing safe sexual health, and avoiding any activities that could exacerbate your symptoms. Remember, your health is paramount, and seeking timely medical advice is always the best course of action when symptoms persist.