Hematospermia: Impact on Sexual Health and Recovery - Urology

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The phenomenon of hematospermia affects sexual intercourse?


I previously experienced hematospermia (small dark red spots) and later consulted a doctor and took antibiotics, which led to gradual improvement (very slowly).
However, during DIY or sexual intercourse, I still occasionally feel discomfort, resulting in penile softening, affecting sexual activity, ejaculation, and pleasure.
Recently, there has been no hematospermia like before, but occasionally I notice small "blood clots" resembling seaweed.
I suspect this may be related to an allergic reaction to cold medication I took after having a cold for an entire month in early February, during which I saw a doctor four times.
In May of this year, I visited a urologist and took medication, but I haven't taken any medication since.
Currently, the most significant issues are incomplete engorgement, hematospermia, and the effects on sexual activity, ejaculation, and pleasure.
How can I fully recover, and how long might it take? Thank you for your assistance.

ABC, 20~29 year old female. Ask Date: 2005/08/11

Dr. Xu Weikai reply Urology


Hello, actually, blood in the ejaculate is most commonly caused by ruptured blood vessels.
The reasons for these ruptures include: 1.
Sudden increases in blood pressure leading to rupture; 2.
Local inflammation or infection causing damage to the vessel walls; 3.
External factors such as improper positioning or trauma, which can also result in bleeding.

To address the issue, it is crucial to treat the underlying cause.
For instance, if an infection is present, appropriate antibiotics should be administered.
The duration of treatment can vary significantly depending on the individual and the specific condition.
Generally speaking, the presence of blood in the semen should not affect erectile function unless there is severe pain.
However, if there is ongoing psychological distress, it can certainly lead to erectile dysfunction.
During the period of bleeding, especially when the blood is still red, it is advisable to avoid ejaculation to prevent worsening the condition.
In cases of seminal vesicle infection, some advocate for increasing the frequency of ejaculation to help expel the infectious bacteria, while others disagree with this approach.

This response is provided by Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/08/11

More Info


Hematospermia, or the presence of blood in semen, can be a concerning symptom for many men. It can arise from various causes, including infections, inflammation, trauma, or even benign conditions. Understanding the underlying reasons for hematospermia is crucial for effective treatment and recovery.

In your case, it seems that you have experienced hematospermia in the past, which has improved with antibiotic treatment. However, you are still facing issues such as incomplete erections, reduced sexual pleasure, and occasional blood clots resembling "seaweed" during ejaculation. These symptoms can understandably lead to anxiety and concern about your sexual health.

First, it's important to recognize that hematospermia can sometimes resolve on its own, especially if it is due to a transient infection or inflammation. However, if the symptoms persist or recur, further evaluation is necessary. The fact that you have seen a urologist and received treatment is a positive step. It’s essential to maintain open communication with your healthcare provider about your ongoing symptoms, as they can help determine if further investigation or a different treatment approach is needed.

The presence of blood clots in your semen, even if they are less frequent now, may still indicate underlying issues that need to be addressed. These could be related to residual inflammation or other conditions affecting the reproductive system. It’s also worth considering that psychological factors, such as anxiety about sexual performance or fear of pain, can contribute to erectile dysfunction and reduced sexual satisfaction. This is not uncommon, especially after experiencing a distressing symptom like hematospermia.

To aid in your recovery, consider the following steps:
1. Follow-Up with Your Urologist: Schedule a follow-up appointment to discuss your ongoing symptoms. Your doctor may recommend further tests, such as imaging studies or a semen analysis, to rule out any persistent issues.

2. Manage Anxiety and Stress: Address any psychological factors that may be affecting your sexual health. Techniques such as mindfulness, relaxation exercises, or speaking with a therapist can be beneficial.

3. Healthy Lifestyle Choices: Maintain a healthy lifestyle by eating a balanced diet, exercising regularly, and avoiding smoking or excessive alcohol consumption. These factors can significantly impact your overall health and sexual function.

4. Medication Review: If you suspect that your previous medications, such as those for your cold, may have contributed to your symptoms, discuss this with your doctor. They can help determine if any current medications might be affecting your sexual health.

5. Patience and Time: Recovery from conditions like hematospermia can take time. It’s essential to be patient with yourself and allow your body to heal.
6. Open Communication with Partners: If you are in a sexual relationship, communicate openly with your partner about your experiences and feelings. This can help alleviate some of the pressure you may feel during intimate moments.

In conclusion, while hematospermia can be alarming, many cases resolve with appropriate treatment and time. It’s crucial to stay proactive about your health by following up with your healthcare provider and addressing any psychological aspects that may be contributing to your symptoms. With the right approach, you can work towards regaining your sexual health and satisfaction.

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