Blood in Semen: Causes and Recovery After Trauma or Masturbation - Urology

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Blood streaks have appeared..?


Hello, after I masturbated today, I noticed a slight trace of blood before the semen appeared, followed by a small amount of semen.
I was kicked in the groin by a classmate the day before at school.
Could this be the cause, or could it be due to a rupture of microvessels during masturbation? Is it possible for this to heal on its own? I look forward to your response.

Niming, 10~19 year old female. Ask Date: 2013/06/05

Dr. Xu Weikai reply Urology


Anonymous: Hello, it is recommended to seek medical attention as soon as possible to check for any ruptures or injuries to the testicles or other organs.
If there is damage to the testicles or other structures within the scrotum that is not treated, it could lead to infertility or erectile dysfunction.
A scrotal ultrasound examination can be performed.
If there are any unclear points, feel free to ask again for further discussion and research.
Responses on the internet should only be used as a reference; it is essential to visit a medical facility for proper care.
This message is from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2013/06/05

More Info


Blood in semen, known medically as hematospermia, can be concerning and may arise from various causes, including trauma, infections, or vascular issues. Given your recent experience of being kicked in the groin and the subsequent appearance of blood in your semen, it is plausible that the trauma could be a contributing factor. Trauma to the genital area can lead to bruising or damage to the blood vessels, which may result in blood being present in the semen.

In your case, the blood you observed could be due to micro-tears or ruptures in small blood vessels caused by the impact from the kick. Additionally, vigorous activities, including masturbation, can sometimes lead to minor injuries or irritation, which might also cause blood to appear. It’s important to note that while minor trauma can often heal on its own, persistent or significant bleeding should be evaluated by a healthcare professional.

Recovery from such an incident typically involves allowing your body to heal. Most cases of hematospermia, especially those resulting from minor trauma, resolve on their own without the need for medical intervention. However, here are some general recommendations for recovery and monitoring your condition:
1. Rest and Avoidance of Strain: Give your body time to heal by avoiding activities that may exacerbate the injury, such as heavy lifting, vigorous exercise, or sexual activity until you feel comfortable.

2. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support your body’s healing processes.

3. Monitor Symptoms: Keep an eye on your symptoms. If the blood in your semen persists beyond a few days, or if you experience additional symptoms such as pain, swelling, or fever, it would be wise to seek medical attention.

4. Pain Management: If you experience discomfort, over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate pain and reduce inflammation.

5. Consult a Healthcare Provider: If the bleeding continues or if you have any concerns about your symptoms, it is essential to consult a healthcare provider. They may perform a physical examination and possibly order tests, such as a urinalysis or imaging studies, to rule out other potential causes of the bleeding.

In conclusion, while it is likely that the blood in your semen is related to the trauma from being kicked, it is crucial to monitor your symptoms and seek medical advice if necessary. Most minor cases resolve without complications, but being proactive about your health is always the best approach. If you have any further questions or concerns, do not hesitate to reach out to a healthcare professional for personalized advice.

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