Recurrent Hematospermia: Causes and Recovery Tips - Urology

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Recurrent hematospermia


Hello Doctor, I previously inquired about the issue of hematospermia, and after taking a 3-day break, I tried a DIY method.
This time, the blood was not as it was before, where it was all bright red; instead, most of it was dark red.
After resting for another 2 days, I noticed there wasn't much blood, but the semen had a slight light brown tint (without any obvious blood color).
Therefore, I thought I was better.
However, after another 2 days, I tried again and found that the initial part had a mix of pink blood (unlike the very beginning where it was all bright red and I couldn't see the semen, this time it was a mix of some pink blood with the semen), but the pink color in the later part was noticeably lighter.

So, I would like to ask if this could be due to insufficient rest, which might have led to incomplete healing of the blood vessels, resulting in bleeding from a wound? How long should I rest before attempting DIY again to avoid recurrent bleeding from the wound? Additionally, could excessive contraction during an erection potentially cause blood vessel rupture, leading to hematospermia? (I feel no discomfort, but during the occurrence of hematospermia, I happened to be engaging in contraction activities.) Thank you for your response!

E, 20~29 year old female. Ask Date: 2014/11/06

Dr. Xu Weikai reply Urology


E: Hello, it is possible to experience continuous bleeding for up to a month.
Therefore, it is recommended to pause for one month.
Excessive excitement can lead to elevated blood pressure, which may cause blood vessel rupture.
This is particularly common in individuals who do not engage in regular exercise.
Additionally, if bleeding occurs frequently, it is advisable to consult a urologist for relevant examinations, such as tests for bacterial infections or tumors.
Treatment options will vary based on the specific condition.
If there are any unclear points, feel free to ask again for further discussion and research.
Online responses should only be used as a reference; if necessary, it is important to seek medical care at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2014/11/06

More Info


Recurrent hematospermia, or the presence of blood in semen, can be a concerning symptom for many individuals. It is important to understand the potential causes and recovery tips associated with this condition.
Firstly, hematospermia can arise from various sources within the male reproductive system. Common causes include inflammation or infection of the prostate (prostatitis), seminal vesicles, or urethra. Other potential sources may include trauma, such as vigorous sexual activity or injury to the genital area, which can lead to bleeding. In some cases, underlying conditions such as benign prostatic hyperplasia (BPH), vascular malformations, or even malignancies may contribute to this symptom.
In your case, it seems that you have experienced a progression from bright red blood to darker shades and then to a pinkish hue in your semen. This change could indicate that the bleeding is resolving, but it is essential to consider that the underlying cause may still need to be addressed. The presence of blood can sometimes be a result of minor trauma or irritation, especially if you have engaged in activities that may have caused strain or pressure on the blood vessels in the reproductive system.

Regarding your question about rest and recovery, it is advisable to allow adequate time for healing before resuming any activities that may put stress on the area, such as vigorous sexual activity or masturbation. While there is no strict guideline on the exact duration of rest required, a general recommendation would be to wait at least one to two weeks after experiencing symptoms of hematospermia before resuming such activities. This timeframe allows for any potential inflammation or minor injuries to heal, reducing the risk of recurrent bleeding.

Additionally, you mentioned concerns about the possibility of excessive force during erection or sexual activity leading to blood vessel rupture. It is indeed possible that vigorous actions can cause trauma to the delicate blood vessels in the reproductive system, resulting in hematospermia. If you suspect that your activities may be contributing to the issue, consider moderating the intensity and frequency of these actions.

If you continue to experience blood in your semen or if the symptoms worsen, it is crucial to consult a healthcare professional. A urologist can perform a thorough evaluation, which may include a physical examination, imaging studies, and laboratory tests to identify the underlying cause of your symptoms. Early intervention can help prevent complications and ensure appropriate management.

In summary, recurrent hematospermia can arise from various causes, including trauma, infection, or underlying medical conditions. Allowing adequate time for recovery, moderating sexual activity, and seeking medical advice if symptoms persist are essential steps in managing this condition. Remember, your health is paramount, and addressing any concerns with a qualified healthcare provider is always the best course of action.

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