Hematospermia: Causes, Symptoms, and Concerns

Q: Hematospermia: Causes, Symptoms, and Concerns

Hello： Hematospermia is the presence of blood in the semen, which may appear red, pink, or dark red. <br>If the semen is yellow and has clotted material, it may be due to a prolonged period without ejaculation, which can be confirmed through semen analysis. <br>The vast majority

The condition of hematospermia?

Hello, Doctor: Before asking my question, I have already reviewed related Q&A, but it seems my question hasn't been addressed, so I would like to ask you, what is hematospermia? Is it considered hematospermia if the semen ejaculated is brownish or bright red? Because a couple of days ago during self-stimulation, the semen I ejaculated was somewhat yellow, and when I wiped with a white tissue, I couldn't see any red spots (blood clots? How large would they need to be to be considered?) or blood streaks due to the white color of the tissue.
However, the yellowish semen had a slight reddish tint, which made it appear even more yellow.
After resting for a day and trying again, the situation remained the same, but there was no pain during urination, and ejaculation was neither obstructed nor painful.
Could I have ruptured a blood vessel during self-stimulation? Is the slight redness due to a ruptured blood vessel? Previously, I did not experience this reddish tint with the same method of self-stimulation, and the last time I engaged in self-stimulation was 30 days ago.
Does this mean that the long interval without ejaculation could have caused this? Thank you for your response.

Da Peng, 30~39 year old female. Ask Date: 2006/03/30

Dr. Chen Xiuyi reply Urology

Hello: Hematospermia is the presence of blood in the semen, which may appear red, pink, or dark red.
If the semen is yellow and has clotted material, it may be due to a prolonged period without ejaculation, which can be confirmed through semen analysis.
The vast majority of cases of hematospermia are benign.
The most common causes are inflammation of the prostate or seminal vesicles due to lower urinary tract infections, leading to congestion of the seminal vesicles.
Some cases are spontaneous, and it is rare for hematospermia to be caused by malignant tumors.
Treatment depends on the underlying cause.
If it is due to an infection, antibiotics are required.
In cases where no specific cause can be identified, most patients are monitored, or medications to reduce swelling and control bleeding may be prescribed.
If symptoms persist, please seek medical attention.
Sincerely, Dr.
Chen Hsiu-Yi, Urology.

Reply Date: 2006/03/30

More Info

Hematospermia, or blood in the semen, can be a concerning symptom for many individuals. It is characterized by the presence of blood in the ejaculate, which can manifest as a reddish or brownish discoloration of the semen. The causes of hematospermia can vary widely, ranging from benign conditions to more serious underlying health issues.

To address your specific questions, hematospermia is typically identified when the semen appears red or brown due to the presence of blood. The color can range from bright red to a darker, coffee-like hue, depending on the amount and source of the bleeding. In your case, the yellowish semen with a reddish tint may suggest a minor bleeding issue, but it is essential to consider other factors as well.

Common causes of hematospermia include:
1. Infection or Inflammation: Conditions such as prostatitis (inflammation of the prostate), epididymitis (inflammation of the epididymis), or urethritis (inflammation of the urethra) can lead to blood in the semen. These conditions may also be accompanied by other symptoms, such as pain or discomfort during ejaculation or urination.

2. Trauma: Physical trauma to the genital area, including vigorous sexual activity or injury, can cause bleeding. If you were engaging in vigorous activity, it is possible that minor trauma to the blood vessels could have occurred, leading to the observed discoloration.

3. Vascular Issues: Sometimes, blood vessels in the reproductive system can rupture, leading to hematospermia. This can happen due to increased pressure during ejaculation or other physical activities.

4. Benign Prostatic Hyperplasia (BPH): In older men, an enlarged prostate can contribute to bleeding in the semen.

5. Malignancy: Although less common, tumors in the prostate, seminal vesicles, or other parts of the reproductive system can cause hematospermia.

Regarding your concerns about the timing of your last ejaculation, it is possible that a longer period without ejaculation could lead to some changes in the semen's appearance. However, this is typically not a direct cause of hematospermia.
It is important to note that if you experience persistent hematospermia, or if it is accompanied by other symptoms such as pain, swelling, fever, or changes in urination, you should seek medical evaluation. A healthcare provider may perform a physical examination, take a detailed medical history, and possibly order tests such as a urinalysis, semen analysis, or imaging studies to determine the underlying cause.

In summary, while occasional hematospermia can be benign, it is crucial to monitor the situation. If the discoloration persists or worsens, or if you develop additional symptoms, it would be wise to consult a healthcare professional for a thorough evaluation and appropriate management.

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