Blood During DIY: Causes and When to Seek Help - Urology

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During DIY, there was bleeding from the glans?


Hello doctor, I experienced bleeding during DIY ejaculation, and afterwards, I noticed bright red blood accompanying my urine a few times.
Could this be due to being too vigorous during DIY, or is there another issue?

Li, 20~29 year old female. Ask Date: 2015/12/24

Dr. Xu Weikai reply Urology


Hello, if you are experiencing blood during ejaculation, it is important to seek medical evaluation.
It could be due to a simple rupture of a blood vessel, or it may be related to a tumor that has ruptured and caused bleeding.
Information found online should only be used as a reference; it is essential to visit a healthcare facility for proper assessment.
This message is brought to you by Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2015/12/24

More Info


When experiencing blood during or after sexual activity, particularly in the context of DIY (Do It Yourself) sexual practices, it is essential to approach the situation with caution and awareness of potential underlying health issues. The presence of bright red blood can indicate a variety of conditions, some of which may require medical attention.

Firstly, it is important to differentiate the source of the bleeding. If the blood is coming from the urethra (the tube through which urine exits the body), it may suggest a urinary tract infection (UTI), urethritis (inflammation of the urethra), or even trauma to the urethra itself. On the other hand, if the bleeding is associated with the genital area, it could be related to vaginal or penile trauma, irritation, or even a sexually transmitted infection (STI).

In the context of DIY sexual practices, vigorous or aggressive actions can lead to micro-tears in the delicate tissues of the genital area. This can result in bleeding, especially if there is insufficient lubrication or if there is a pre-existing condition that makes the tissues more susceptible to injury. For example, conditions such as vaginitis or balanitis (inflammation of the glans penis) can increase sensitivity and the likelihood of bleeding during sexual activity.

Another potential cause of bleeding could be related to hormonal fluctuations or menstrual irregularities in individuals with a uterus. If the bleeding coincides with the menstrual cycle, it may simply be a part of that process. However, if it occurs outside of the expected menstrual period, it could indicate other issues such as hormonal imbalances or fibroids.

It is crucial to consider the frequency and amount of bleeding. Occasional spotting may not be a cause for alarm, but if the bleeding persists, increases in volume, or is accompanied by other symptoms such as pain, discomfort, or changes in urinary habits, it is advisable to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include a physical examination, urinalysis, and possibly imaging studies to determine the cause of the bleeding.

In summary, while some bleeding during DIY sexual activities may be benign and related to minor trauma or irritation, it is essential to monitor the situation closely. If the bleeding persists or is accompanied by concerning symptoms, do not hesitate to consult a healthcare professional. They can provide a proper diagnosis and recommend appropriate treatment or lifestyle adjustments to prevent future occurrences. Remember, maintaining open communication with your healthcare provider about any sexual health concerns is vital for overall well-being.

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