Why does hematospermia occur?

Hematospermia is usually caused by seminal vesiculitis, prostatitis, urethral injury, reproductive system tumors or blood diseases. Hematospermia refers to semen mixed with blood, which may appear pink, red, or brown. In most cases, it is related to inflammation or minor injury. In a few cases, it may indicate a serious disease.

1. Seminal vesiculitis

Seminal vesiculitis is one of the most common causes of hematospermia and may be related to bacterial infection. Patients may experience symptoms such as lower abdominal pain and painful ejaculation. During treatment, antibiotics such as levofloxacin tablets and cefixime dispersible tablets can be used as directed by the doctor, along with warm water sitz baths to relieve symptoms. Repeated episodes of seminal vesiculitis may form chronic inflammation, and it is necessary to avoid prolonged sitting and excessive sexual life.

2. Prostatitis

Prostatitis may cause capillaries to rupture and bleed, and red blood cells to appear in semen. It is often accompanied by symptoms such as frequent urination, urgency, and perineal distension and pain. You can use Tamsulosin Hydrochloride Sustained-release Capsules, Qianlieshutong Capsules and other drugs as directed by your doctor, while maintaining a regular schedule and avoiding spicy and irritating foods. Acute bacterial prostatitis requires prompt treatment to prevent complications.

3. Urethral injury

Injury to the urethral mucosa may be caused by strenuous sexual intercourse, urethral instrumentation, or when stones are passed. This type of hematospermia is usually temporary and may be accompanied by a stinging sensation during urination. It is recommended to suspend sexual life and drink more water to promote recovery. If bleeding persists, organic problems such as urethral stricture need to be ruled out.

4. Reproductive system tumors

Malignant tumors such as prostate cancer and seminal vesicle cancer may cause painless hematospermia, which is more common in middle-aged and elderly men. It may be accompanied by symptoms such as weight loss and pelvic pain. Confirmation requires prostate-specific antigen testing, MRI and other examinations. Early detection allows intervention with surgery or radiotherapy.

5. Blood diseases

Coagulation disorders such as thrombocytopenic purpura and hemophilia may cause bleeding in many parts of the body, including semen. Such patients often have other bleeding tendencies such as gum bleeding and subcutaneous ecchymosis. Hematology specialist treatment is required, and coagulation factors or platelets are transfused when necessary.

When hematospermia occurs, excessive stress should be avoided, but timely medical attention is required to determine the cause. It is recommended to record the frequency of hematospermia and accompanying symptoms, and abstain from sex for 3-5 days before the examination to ensure the accuracy of the semen sample. Pay attention to the cleanliness of the perineum every day, avoid riding bicycles or sitting for long periods of time, and control the intake of alcohol and spicy food. Men over the age of 40 who experience hematospermia for the first time are advised to undergo prostate cancer screening.