Blood in semen: should this be a worrying sign for men?

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The medical term for the presence of blood in semen is hematospermia. When men notice there is blood in their ejaculate they usually start worrying. Their first thought is about prostate or testicle cancer. The truth is that hematospermia is not such a serious life threatening condition and solutions to this problem exist.

Hematospermia can occur in men of all ages, sometimes it gets noticed with a bare eye and sometimes it passes unnoticed if the presence of blood is minimal (a small blood quantity can be detected only by a microscope).

In young men (aged under 40) the presence of blood in semen is not usually associated with the presence of a malign process and is considered to be a benign affection. In elder men the possibility of a malignancy is taken in consideration when looking for diagnose.

Hematospermia can be caused by multiple affections, starting with genital infections, urinary infections, traumas in the genital area, even hypertension (like in epistaxis). Hematospermia can occur quite rare in a male’s life and then it must not necessarily be investigated, but when the frequency of hematospermia increases to more than 10 ejaculations then a medical exam is required. Some doctors tend to use the duration of hematospermia as a guideline, asking the patient for how many months hematospermia was present.

In a medical exam, the doctor will look for lesions in the structure of the penis, will palpate the vasa to make sure nodules or other indurations are not present, and will perform a prostate examination too.

Sometimes an inflammation of the prostate or of the seminal vesicles can lead to hematospermia. Generally this inflammation tends to resolve by itself in 1 or 2 months. If hematospermia is still present afterwards then the cause might not be inflammation and further investigations are needed. Prostatic calculi or acute bacterial prostatitis can also represent a cause of the presence of blood in semen. Hematospermia can occur after invasive medical urological procedures like the prostatic biopsy or the transurethral resection of the prostate.

Urinary infections and lesions upon the urinary tract caused by strictures or polyps or cysts can be another cause of hematospermia.

Genitourinary tuberculosis, infections with Chlamydia, Ureaplasma, the Herpes simplex virus and even HIV can determine the presence of blood in the semen.

All these affections that can be held responsible for hematospermia might worry you a lot. The usually tendency in this case is to ignore hematospermia, to pray that it will go away on its own. Why wait when you can go for a medical check up and find out in one or two days if there is a problem or not with you, if treatment is needed and what else should be done. Don’t waste precious weeks or even months of your life with worries, waiting for this condition to disappear on its own. You can worry in those moments when you will go to the doctor and after that you can return to your normal life, not torture yourself and your partner with irrational ideas.



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