Blood in Semen: Causes, Diagnosis, and When to Seek Help - Urology

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When it comes to blood in semen, also known as hematospermia, it can be a concerning symptom for many individuals. The causes of hematospermia can range from benign to more serious conditions, including infections, inflammation, trauma, or even tumors. Therefore, understanding the underlying cause is crucial for appropriate management and treatment.

In your case, you mentioned the recommendation for a transrectal ultrasound of the seminal vesicles to check for any tumors or abnormalities, as well as a semen culture to rule out any infections. These are indeed important diagnostic steps. A transrectal ultrasound can provide valuable information about the anatomy of the prostate and seminal vesicles, helping to identify any masses or structural issues. A semen culture can help detect any bacterial infections that might be contributing to the symptom.

Regarding where to seek these evaluations, both a large hospital and a general urology clinic can provide the necessary services. However, larger hospitals may have more advanced imaging technologies and specialists who can interpret the results more comprehensively. If you have access to a reputable urology clinic, they should also be able to perform these tests and provide you with the necessary follow-up care.

It is understandable that you want to take a wait-and-see approach, especially if the symptom is not persistent. However, it is essential to monitor your condition closely. If you experience any recurrence of blood in your semen, or if you notice any additional symptoms such as pain, swelling, or changes in urination, it would be prudent to seek medical attention sooner rather than later.
In terms of frequency of sexual activity, moderation is generally advisable, especially if you are experiencing symptoms. Engaging in sexual activity 1-2 times a week is reasonable, but it is essential to listen to your body. If you notice any discomfort or if the blood reappears, it may be wise to reduce frequency until you have a clearer understanding of your condition.

In conclusion, while hematospermia can be alarming, many cases are benign. However, it is crucial to follow through with the recommended diagnostic tests to rule out any serious underlying conditions. Regular monitoring and being attentive to your body’s signals will help you manage your health effectively. If symptoms persist or worsen, do not hesitate to seek medical evaluation. Your health and peace of mind are paramount.