Blood in Urine and Ejaculation: Causes and Treatments

Q: Blood in Urine and Ejaculation: Causes and Treatments

Hello： The medication may need to be taken for a period of time, and a urine test should be done to check for blood before proceeding with DIY. <br>If there is still blood in the urine (urinalysis), it is recommended to consult a medical center for further examination, as a CT sc

Hematospermia and hematuria?

Hello, doctor.
I have been masturbating more frequently recently, and about two weeks ago, I noticed blood in my ejaculation, followed by semen.
The next day, I passed blood clots in my urine, so I went to the clinic for a check-up.
The doctor diagnosed me with prostatitis and prescribed antibiotics, hemostatic agents, and medications for urinary tract cleansing.
After completing a week of treatment, I wanted to see if my condition had improved, so I tried again, but the same thing happened.
The next morning, I found it difficult to urinate, and I ended up needing to go to the emergency room for catheterization.
The catheter could not be inserted, and I eventually managed to pass the blood clots myself, which was quite alarming in terms of the amount of blood.
I underwent X-rays, a CT scan, and urinalysis, and aside from the bleeding, there were no significant abnormalities found.
I continued to receive the same treatment.
A week has passed, and I have maintained abstinence and continued taking the medication, but I noticed blood clots during urination after morning erections, while urination is normal at other times.
I would like to ask the doctor where the bleeding might be coming from.
Additionally, how can I know if I have fully recovered? After my terrifying experience in the emergency room, I really lack confidence in trying anything uncertain.

Mr. Zhang, 40~49 year old female. Ask Date: 2023/08/05

Dr. Du Shixi reply Urology

Hello: The medication may need to be taken for a period of time, and a urine test should be done to check for blood before proceeding with DIY.
If there is still blood in the urine (urinalysis), it is recommended to consult a medical center for further examination, as a CT scan has already been performed and larger lesions should not be present; the focus should be on detecting smaller lesions.
Wishing you good health.

Reply Date: 2023/08/05

More Info

Blood in urine, or hematuria, can be a concerning symptom and may arise from various causes, particularly in the context of recent medical history and activities. In your case, the combination of blood during ejaculation and subsequent hematuria suggests a potential issue within the urinary tract or reproductive system.

Possible Causes of Blood in Urine and Ejaculation
1. Prostatitis: As your doctor suggested, prostatitis (inflammation of the prostate gland) is a common cause of blood in the semen and urine. It can result from bacterial infections or other factors, leading to inflammation and bleeding.

2. Urinary Tract Infection (UTI): A UTI can cause irritation and inflammation of the urinary tract, leading to hematuria. Symptoms may include painful urination, frequent urination, and sometimes fever.

3. Kidney Stones: Although your imaging studies did not show significant abnormalities, kidney stones can sometimes cause bleeding as they pass through the urinary tract. They can also lead to blockages, resulting in pain and difficulty urinating.

4. Trauma or Injury: Any recent trauma to the pelvic region can lead to bleeding. This includes injuries from vigorous activities or accidents.

5. Tumors: While less common, tumors in the bladder, kidneys, or prostate can cause hematuria. Given your age and the absence of other alarming symptoms, this is less likely but should not be completely ruled out.

Treatment and Management
Your treatment regimen, which includes antibiotics and medications to manage bleeding, is appropriate for prostatitis or a UTI. It is crucial to complete the full course of antibiotics as prescribed, even if symptoms improve.

Monitoring Recovery
To determine if you are healing, consider the following:
1. Symptom Tracking: Keep a diary of your symptoms, noting any occurrences of blood in urine or semen, pain levels, and urinary habits. This can help you and your doctor assess progress.

2. Follow-Up Appointments: Regular follow-ups with your healthcare provider are essential. They may recommend repeat urine tests or imaging studies to monitor for any underlying issues.

3. Avoiding Irritants: During recovery, avoid activities that may irritate the urinary tract, such as vigorous exercise or sexual activity until cleared by your doctor.

4. Hydration: Drink plenty of fluids to help flush out your urinary system, which can aid in recovery and reduce the concentration of irritants in your urine.

When to Seek Immediate Care
If you experience any of the following, seek immediate medical attention:
- Severe pain that is not relieved by over-the-counter medications.

- Inability to urinate or significant changes in urinary patterns.

- Fever or chills, which may indicate an infection.

- Any new or worsening symptoms.

Conclusion
While the presence of blood in urine and semen can be alarming, many cases are treatable with appropriate medical care. It's essential to maintain open communication with your healthcare provider, adhere to treatment plans, and report any new symptoms promptly. If you continue to have doubts about your diagnosis or treatment, seeking a second opinion from a urologist may provide additional reassurance and clarity.

Similar Q&A

Understanding Blood in Urine and Semen: Causes and Treatments

Since July of last year, I woke up one morning to find blood in my urine, with clots in the initial stream. Later, I experienced hematospermia. I consulted a doctor who performed urinalysis, blood tests, and X-rays of the kidneys and bladder, all of which returned normal results....

Dr. Chen Jiansheng reply Urology
Get a CT scan or MRI for evaluation.

Understanding Post-Ejaculation Bleeding: Causes and Concerns

Well... I'll be honest! After my last ejaculation, it turned out to be blood instead of semen. A week later, I thought I would try again... and the result was the same = =" What is going on? 0.0!!

Dr. Lin Yisheng reply Urology
Basically, it is important to differentiate between hematuria (blood in urine) and hematospermia (blood in semen). Possible causes include trauma, inflammation, infection, or tumors, with some cases remaining idiopathic. In young individuals, it is often self-limiting and general...

Understanding Blood in Semen: Causes and Concerns for Men

Hello, doctor! Over two years ago, I experienced blood and blood clots in my urine after watching adult films, after sexual intercourse, and upon waking up in the morning. After consulting a doctor, I underwent X-rays, ultrasounds, and contrast imaging, all of which showed no abn...

Dr. Li Xinyi reply Urology
Hematospermia is mostly benign, but it can sometimes be associated with prostatic calculi. However, it is important to remain cautious of other potential causes. It is advisable to continue monitoring and follow-up with a urologist.

Understanding Blood in Semen and Urine: Causes and Concerns

Hello doctor, I have a question. After masturbating and ejaculating, I noticed that my semen had a few strands of brownish liquid. What could this be? Additionally, during my first trip to the bathroom after masturbating, I noticed that my urine was blood-tinged, and there were a...

Dr. Liu Mingyue reply Urology
Hello: Your issue is quite common in outpatient clinics, often caused by the rupture of blood vessels during ejaculation. Further examinations and tests are needed to determine if there are any underlying problems. Please consult a urologist at a hospital. Thank you for your inqu...