Is It Safe to Wait 4-6 Weeks for Blood in Semen? - Urology

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Semen retention syndrome - Restorative treatment?


Hello, Doctor Hsu.
I would like to ask about the presence of blood in semen.
If I do not seek medical attention for a short period of time, will there be any issues? I am considering resting for 4 to 6 weeks to see if there is any improvement, and if not, I will seek medical help for further examination.
Is this acceptable? Thank you.

Xiao Lin, 20~29 year old female. Ask Date: 2014/05/11

Dr. Xu Weikai reply Urology


Xiao Lin: Hello, if there is no anxiety, and it is not causing significant disruption in your daily life, and your mood is relatively stable, you may consider monitoring the situation for now.
If it worsens or does not improve, then you should see a doctor.
However, from a physician's perspective, it is advisable to seek medical evaluation first to determine the underlying cause before considering treatment.
The causes of hematuria are often due to blood vessel rupture.
However, it is important to identify what caused the blood vessel rupture, such as hypertension, vascular sclerosis, infection, tumors, etc.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, it is important to seek care at a medical facility.
This message is brought to you by Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2014/05/11

More Info


When it comes to the presence of blood in semen, a condition known as hematospermia, it is essential to approach the situation with caution. While it may be tempting to wait for a few weeks to see if the issue resolves on its own, there are several important factors to consider before making that decision.

First and foremost, the presence of blood in semen can be caused by a variety of underlying conditions, some of which may require prompt medical attention. These can include infections, inflammation of the prostate (prostatitis), benign prostatic hyperplasia (BPH), or even more serious conditions such as tumors or malignancies. Although many cases of hematospermia are benign and may resolve without treatment, it is crucial to rule out any serious underlying issues.

Waiting for 4-6 weeks without seeking medical advice may lead to potential complications, especially if the cause of the bleeding is due to an infection or another treatable condition. For instance, if an infection is present, delaying treatment could allow the condition to worsen, potentially leading to more severe symptoms or complications. Additionally, if the bleeding is due to a more serious condition, early detection and intervention are vital for the best possible outcome.

Furthermore, while some individuals may experience a spontaneous resolution of symptoms, this is not guaranteed. The psychological impact of waiting and worrying about the potential causes of blood in semen can also take a toll on mental health, leading to increased anxiety and stress.

In general, it is advisable to consult with a healthcare professional as soon as possible if you notice blood in your semen. A urologist or primary care physician can perform a thorough evaluation, which may include a physical examination, laboratory tests, and imaging studies if necessary. This will help identify the underlying cause and determine the appropriate course of action.

If you are concerned about the potential for a serious condition, it is better to err on the side of caution and seek medical advice sooner rather than later. Early intervention can lead to better outcomes and peace of mind.

In summary, while waiting for 4-6 weeks to see if the condition improves may seem reasonable, it is generally not advisable to delay seeking medical attention for blood in semen. The potential risks associated with waiting, including the possibility of worsening symptoms or missing a serious diagnosis, outweigh the benefits of waiting. It is always best to consult with a healthcare professional to ensure that any underlying issues are addressed promptly and appropriately.

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