Sudden Severe Bleeding from the Penis: What to Do Next? - Urology

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Experiencing sudden severe bleeding from the penis can be alarming, and it is understandable that you are concerned about your husband's health. Given the situation you described, it is crucial to approach this matter with care and attention. Here’s a comprehensive overview of what could be happening and what steps you can take.


Possible Causes of Severe Bleeding
1. Trauma or Injury: The most common cause of sudden bleeding from the penis during sexual activity is trauma. This could be due to vigorous intercourse, improper use of sexual devices, or even an underlying condition that makes the blood vessels more susceptible to rupture.

2. Peyronie's Disease: This condition involves the development of fibrous scar tissue inside the penis, which can lead to painful erections and, in some cases, bleeding. If your husband has a curvature of the penis or experiences pain during erections, this could be a possibility.

3. Infection or Inflammation: Conditions such as balanitis (inflammation of the glans) or sexually transmitted infections (STIs) can cause bleeding. If there are accompanying symptoms like discharge, itching, or swelling, an infection could be the culprit.

4. Blood Disorders: Certain blood clotting disorders or medications that affect blood clotting can lead to increased bleeding. If your husband has a history of such conditions, this should be considered.

5. Urethral Injury: An injury to the urethra, which can occur during sexual activity, can also cause significant bleeding. This may be accompanied by pain during urination or difficulty urinating.


Recommended Actions
1. Follow-Up with a Healthcare Provider: Since your husband has already seen a doctor and was prescribed anti-inflammatory medication, it is essential to follow up if there has been no improvement after a week. Persistent bleeding, pain, or bruising should be evaluated further. A urologist would be the best specialist to consult for this issue.

2. Monitor Symptoms: Keep track of any additional symptoms that may arise, such as fever, increased pain, changes in urination, or any unusual discharge. This information will be helpful for the healthcare provider.

3. Avoid Sexual Activity: Until the bleeding resolves and your husband receives a thorough evaluation, it is advisable to refrain from sexual activity. This will help prevent further injury and allow any existing inflammation to heal.

4. Pain Management: If your husband is experiencing pain, over-the-counter pain relievers like ibuprofen or acetaminophen can be used, but it’s best to consult with a healthcare provider before taking any medication, especially if he is already on prescribed medication.

5. Educate and Support: As his partner, providing emotional support is crucial. Encourage him to communicate openly about his symptoms and feelings. This can help reduce anxiety and foster a supportive environment for recovery.


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

- Signs of infection, such as fever or chills.

- Difficulty urinating or blood in urine.

- Any new or worsening symptoms.


Conclusion
While the initial assessment by a healthcare provider indicated no significant issues, the persistence of symptoms warrants further investigation. It’s essential to remain vigilant and proactive about his health. Encourage your husband to seek a follow-up appointment with a urologist, who can provide a more specialized evaluation and treatment plan. Remember, timely intervention can prevent complications and ensure a better outcome. Your support during this time is invaluable, and together, you can navigate this challenging situation.