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Blood in the semen

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Blood in semen is medically termed as hematospermia. For some, blood in semen would not notify any health issue and it resolves spontaneously but for others, hematospermia might indicate tumour or inflammation. We shall discuss in details in the upcoming content...

Symptoms associated with blood in semen

The symptom is self explanatory – i.e. tinge of blood is seen in the ejaculation.

You can also watch for associated symptoms like:

  • Painful ejaculation
  • Burning  and pain while urinating
  • Blood in urine
  • Incomplete voiding of bladder
  • Pain, tenderness and swelling in sexual organs
  • Pain while having intercourse
  • Unusual discharge from penis
  • Fever and high pulse rate

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What causes blood in semen?

Several medical conditions can result in blood in semen. They are:

  • Inflammation of genital-urinary tract and glands like prostate, urethra, Epididymis, seminal vesicle and vas deferens
  • Post operative side effects of prostrate biopsy and vasectomy
  • Symptom of sexually transmitted disease like Chlamydia, gonorrhoea, HIV etc.
  • Tumour and cancer in bladder, prostrate and testicles
  • High blood pressure and liver disease
  • Blood clotting disorder, leukaemia, tear in blood vessels that carry semen.
  • Physical injury or trauma to sexual organs while having vigorous sex or any external trauma

In most cases blood in semen is a benign cause and cancer is usually not the cause, especially in young men. So if it resolves on its own then there’s nothing to panic.

When to see a doctor?

Blood in semen may not always be a cause of concern. You don’t need to see a doctor the symptom disappears on own. You should see a doctor if blood in semen occurs frequently along with the abnormal symptoms as explained above.

A risk factor for health complication that would lead blood in semen is – age above 40.

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Diagnosis of blood in semen

Your doctor will evaluate the symptoms and ask you questions regarding the frequency of occurrence of blood and your sexual activity. Diagnosis also involves taking detailed medical history of any health disorder. The semen sample would be collected for evaluation in the laboratory.

Tests that would reveal the underlying health condition

  • Digital rectal examination to examine the prostate gland
  • Urine tests to reveal infections
  • Blood tests for detecting sexually transmitted diseases
  • CT scan and MRI of genitourinary glands and ducts. This would detect complications like tumours, internal bleeding and haemorrhoids.
  • If cancer in prostate is suspected then your doctor might recommend PSA testing

Treatment for blood in semen

Treatment for blood in semen completely depends on your diagnostic test reports. If your test reports are normal then your doctor might not even plan any treatment.

  • In general if an infection has been found then it would be treated with antibiotics
  • If it has resulted from minor injury the genitals then your doctor would advice rest. Major trauma might require surgical intervention
  • Tumours in bladder or cancer would require chemotherapy and radiation therapy. For that the patient might be referred to an oncologist
  • Patients who have been detected with urinary complications would be further referred to urologist who will plan the appropriate treatment

Written by: healthplus24.com team

Date last updated: January 07, 2015

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