Blood in Semen: Should You Be Concerned or Just Rest? - Urology

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Hematospermia


Hello, doctor! Recently, during my last two instances of masturbation, I noticed blood in my semen.
The first time I saw blood, I got scared, so I waited five days before masturbating again.
This time, there was no blood at first, but later on, blood appeared again, making the entire semen look red.
I quickly came here to look for related information! Doctor, could this just be a simple inflammation? Is it necessary for me to see a doctor? Or will resting more help? I'm embarrassed to see a doctor, and this is making me very worried.
Please help me with a diagnosis, and if necessary, I will go seek medical attention!

KEN, 20~29 year old female. Ask Date: 2006/10/05

Dr. Lin Hexing reply Urology


The issue of hematospermia is often associated with inflammation.
It is recommended that you consult a urologist for a semen analysis, followed by further diagnosis and treatment.

Reply Date: 2006/10/05

More Info


Experiencing blood in semen, known medically as hematospermia, can understandably cause concern. While it may sometimes be a benign condition, it is essential to approach this symptom with caution and seek medical advice.
Hematospemia can result from various causes, ranging from minor issues to more serious conditions. Common benign causes include inflammation or infection of the prostate (prostatitis), seminal vesicles, or urethra. Other potential causes can include trauma to the genital area, recent medical procedures (like a biopsy), or even vigorous sexual activity. In some cases, it may also be associated with benign prostatic hyperplasia (BPH) or other prostate-related issues.

However, it is crucial to note that blood in semen can also indicate more serious conditions, such as sexually transmitted infections (STIs), tumors, or other malignancies. Therefore, while it might be tempting to assume that it is just inflammation or a minor issue, it is essential not to dismiss the symptom, especially since it has occurred more than once.

Given that you have noticed blood in your semen during two separate instances, it is advisable to consult a healthcare professional. A doctor can perform a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly some tests such as a urinalysis, blood tests, or imaging studies to determine the underlying cause of the hematospermia.

In terms of management, if the cause is identified as an infection or inflammation, appropriate treatment such as antibiotics or anti-inflammatory medications may be prescribed. If the cause is more serious, early diagnosis and intervention can be crucial for effective treatment.

While resting and avoiding activities that may exacerbate the condition (such as vigorous sexual activity) can be beneficial, it is not a substitute for medical evaluation. Ignoring the symptom could lead to complications if there is an underlying issue that requires treatment.

In summary, while blood in semen can sometimes be due to minor issues, it is essential to take this symptom seriously. Consulting a healthcare provider is the best course of action to ensure proper diagnosis and treatment. Your health is important, and addressing concerns early can lead to better outcomes. Don't hesitate to seek help; healthcare professionals are there to assist you and can provide the necessary support and guidance.

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