Blood in Semen: Causes and Concerns for Men - Urology

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There is a very small drop of blood in the semen?


Hello doctor, I have noticed very small red spots resembling blood in my semen after the last two DIY sessions.
These spots are very subtle and can only be seen with close inspection.
Could this be hematospermia? Is it related to the frequency of DIY activities?

Niming, 20~29 year old female. Ask Date: 2013/12/22

Dr. Lin Hexing reply Urology


Hello: To determine if there is hematospermia, a semen analysis is necessary.
Of course, excessive frequency of masturbation may cause damage to the reproductive tract.
If there is an issue with hematospermia, it is advisable to limit masturbation.
Wishing you good health.

Reply Date: 2013/12/22

More Info


The presence of blood in semen, known as hematospermia, can be concerning for many men. It is understandable to feel anxious when noticing even a small drop of red in your semen, especially if it is a new occurrence. Hematospermia can have various causes, and while it is often benign, it is essential to consider the potential underlying issues.

Firstly, it is important to note that hematospermia can result from several factors, including trauma, infections, inflammation, or even benign conditions. In your case, you mentioned that this has occurred after two instances of DIY (do-it-yourself) sexual activity. If there was any vigorous activity or trauma to the genital area, this could potentially lead to minor bleeding. The blood vessels in the reproductive tract can be fragile, and excessive friction or pressure may cause them to rupture, leading to blood in the semen.

Infections are another common cause of hematospermia. Conditions such as prostatitis (inflammation of the prostate), urethritis (inflammation of the urethra), or sexually transmitted infections (STIs) can lead to bleeding. If you have experienced any other symptoms, such as pain during ejaculation, discomfort in the pelvic area, or changes in urination, it would be wise to consult a healthcare professional for further evaluation.

Additionally, benign conditions like cysts or varicoceles (enlarged veins in the scrotum) can also lead to blood in the semen. While these conditions are generally not serious, they may require monitoring or treatment if they cause discomfort or other complications.

It is also worth noting that frequent ejaculation, whether through sexual activity or masturbation, is generally not linked to hematospermia. However, if you are engaging in very frequent or vigorous activity, it might contribute to minor trauma in some cases.

Given that you have noticed this issue twice, it would be prudent to seek medical advice, especially if the bleeding persists or if you develop any additional symptoms. A healthcare provider may recommend a physical examination and possibly some tests, such as a urinalysis or imaging studies, to rule out any serious conditions.

In summary, while a small amount of blood in semen can be alarming, it is often not indicative of a severe problem. However, due to the potential for various underlying causes, it is essential to consult with a healthcare professional to ensure proper diagnosis and management. They can provide personalized advice based on your specific situation and medical history.

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