Hematospermia: Causes, Stress Impact, and When to Seek Help - Urology

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Hematospermia


Hello, doctor.
Over the past year, I have occasionally noticed blood in my semen, but it returns to normal during the next ejaculation, occurring about once a month.
I would like to ask: 1.
Is this what is referred to as hematospermia? 2.
Since I have been preparing for exams this year, could this be related to stress? 3.
If there is no worsening of the condition, do I still need to see a urologist?

Lucas, 20~29 year old female. Ask Date: 2023/04/18

Dr. Du Shixi reply Urology


Hello: Although there are usually no major issues, a high frequency still warrants an examination by a urologist at a major hospital.
It is best to get checked after experiencing hematospermia.
Wishing you good health; it is likely unrelated to stress.

Reply Date: 2023/04/18

More Info


Hematospermia, or the presence of blood in semen, can be a concerning symptom for many men. It is important to understand its potential causes, the impact of stress on this condition, and when to seek medical help.

1. Understanding Hematospermia: Yes, what you are experiencing is indeed referred to as hematospermia. The presence of blood in semen can be alarming, but it is often benign. Common causes include infections (such as prostatitis or epididymitis), inflammation of the seminal vesicles, trauma, or even benign conditions like cysts. In some cases, it may also be associated with more serious conditions, such as tumors or vascular malformations, but these are less common.

2. Impact of Stress: Stress can have a significant effect on overall health, including sexual health. Chronic stress can lead to a range of physical symptoms, including hormonal imbalances, which may contribute to conditions like prostatitis. While stress itself may not directly cause hematospermia, it can exacerbate underlying issues that might lead to this symptom. The pressure of preparing for exams can lead to anxiety and tension, which may manifest in various physical symptoms, including changes in sexual function or health. It is essential to manage stress effectively through relaxation techniques, regular exercise, and adequate sleep, as these can help mitigate some of the physical manifestations of stress.

3. When to Seek Help: If the hematospermia is infrequent and resolves on its own, it may not be necessary to seek immediate medical attention. However, it is crucial to monitor the situation. If you notice any of the following, you should consult a urologist:
- The blood in semen persists or increases in frequency.

- You experience additional symptoms, such as pain during ejaculation, difficulty urinating, or pelvic pain.

- There are changes in your urinary habits, such as increased frequency or urgency.

- You have a fever or other systemic symptoms that may indicate an infection.

In summary, while occasional hematospermia can be benign, it is essential to remain vigilant and seek medical advice if symptoms persist or worsen. Stress management is also crucial, as it can impact your overall health and well-being. Engaging in stress-reducing activities, such as mindfulness, exercise, and hobbies, can help improve your mental and physical health. If you have concerns about your symptoms or overall health, do not hesitate to reach out to a healthcare professional for personalized advice and treatment options.

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