Hematospermia: Causes, Management, and When to Seek Help

Q: Hematospermia: Causes, Management, and When to Seek Help

Xiao Lin： You may need further examination to determine if there is an infection or other causes for the presence of blood in your semen. <br>It is also possible that excessive excitement during sexual activity led to a significant increase in blood pressure, causing nearby micro

Management of hematospermia?

Hello, doctor.
In April, I discovered blood in my semen (it had a rust-like color), which is different from red or pink.
The initial part of the semen was normal, but the latter part had a rust-like color.
I read some articles and found that blood in the latter part of the semen is associated with issues related to the prostate or seminal vesicles.
My approach was to take a break; I rested for about a month without ejaculation.
A few days ago, I checked my semen again and found it to be more normal, which relieved me a lot.
However, I have been using it more frequently in recent days, almost once a day for about 3 to 4 days.
Today, thinking about the blood in the semen issue, I checked again and noticed that the latter part of the semen had a rust color again, but this time there were also two small red spots.
After seeing that, I felt a bit weak in my legs.
Is this due to excessive frequency, and does it just need rest to recover? How long should I rest? (I read some articles suggesting that ejaculation every 3 to 4 times can help clear old blood.) Or is this a more serious issue that requires a doctor's examination and possible medication treatment?

Xiao Lin, 20~29 year old female. Ask Date: 2014/05/08

Dr. Xu Weikai reply Urology

Xiao Lin: You may need further examination to determine if there is an infection or other causes for the presence of blood in your semen.
It is also possible that excessive excitement during sexual activity led to a significant increase in blood pressure, causing nearby microvessels to rupture.
Rest is essential, and it may take at least 2-4 weeks for the vessels to fully heal.
If you have any further questions, feel free to ask, and we can discuss and research together.
Online responses should only be used as a reference; it is still necessary to seek medical attention at a healthcare facility if needed.
This message is from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Ministry of Health and Welfare, who cares about your well-being.

Reply Date: 2014/05/08

More Info

Hematospermia, or the presence of blood in semen, can be a concerning symptom for many men. It is important to understand the potential causes, management strategies, and when to seek medical help.

Causes of Hematospermia
Hematospermia can arise from various sources within the male reproductive system. Common causes include:
1. Prostate Issues: Conditions such as prostatitis (inflammation of the prostate) or benign prostatic hyperplasia (BPH) can lead to blood in the semen.

2. Seminal Vesicle Problems: Inflammation or infection of the seminal vesicles can also result in hematospermia.

3. Infections: Urinary tract infections or sexually transmitted infections can cause bleeding.

4. Trauma: Any injury to the genital area can lead to blood in the semen.

5. Vascular Issues: Abnormal blood vessels or varicoceles can contribute to bleeding.

6. Systemic Conditions: Conditions such as hypertension or clotting disorders may also play a role.

Management Strategies
If you notice blood in your semen, it is advisable to take the following steps:
1. Rest and Observe: As you have done, taking a break from sexual activity can help. This allows any minor irritation or inflammation to subside.

2. Hydration: Staying well-hydrated can help maintain overall health and may assist in flushing out any irritants.

3. Monitor Symptoms: Keep track of any additional symptoms such as pain, fever, or changes in urination. This information can be helpful for your healthcare provider.

When to Seek Help
While hematospermia is often benign, there are circumstances where you should seek medical attention:
1. Persistent Symptoms: If blood in the semen persists for more than a few weeks, it is essential to consult a healthcare provider.

2. Accompanying Symptoms: If you experience pain, swelling, fever, or any other concerning symptoms, seek medical advice promptly.

3. Changes in Pattern: If the color or amount of blood changes significantly, or if you notice new symptoms, it is wise to get evaluated.

Medical Evaluation
If you decide to see a doctor, they may perform several evaluations, including:
- Physical Examination: A thorough examination of the genital area and prostate.

- Urinalysis: To check for infections or other abnormalities.

- Imaging Studies: Ultrasound or MRI may be used to visualize the reproductive organs.

- Blood Tests: To assess for systemic issues or infections.

Conclusion
In your case, since you have observed a recurrence of the rust-colored semen after increased sexual activity, it may indicate that your body is still recovering from the initial irritation or inflammation. It is generally recommended to allow a longer period of rest, especially if you notice any blood. A break of at least a week or two may be beneficial, but if the symptoms persist or worsen, seeking medical advice is crucial.

Remember, while hematospermia can often be benign, it is always better to err on the side of caution and consult a healthcare professional if you have any doubts or concerns. Your health and peace of mind are paramount, and a medical professional can provide personalized guidance based on your specific situation.

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