Blood in semen - What are the causes?

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Blood in semen or Hematospermia usually isn’t severe so don’t worry! See a doctor and find the real cause. Here is an overview for you

Blood in semen - What are the causes?

Is blood in semen concerning?

Blood in semen, known medically as hematospermia, is common in men under 40 and is often mild and not concerning. Blood in semen can be caused by various factors. While it's not always a serious concern, it's important to see a doctor for a proper diagnosis and treatment if needed. Early diagnosis and treatment can prevent complications and ensure your overall health.

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Blood in semen’s Overview


Blood in semen, known medically as hematospermia, can be a cause for concern. While it's often harmless, it's important to understand the potential causes and seek medical evaluation, especially if accompanied by other symptoms.

 

Causes of blood in semen or hematospermia


Some of the common causes for blood in semen or hematospermia include infections, inflammation and blockages, trauma, and medical conditions.

  • Infections: Sexually transmitted infections (STIs) like chlamydia, gonorrhea, or trichomonas can cause inflammation in the urinary or reproductive tract, leading to blood in semen.
  • Inflammation: Conditions like prostatitis (inflammation of the prostate gland) or seminal vesiculitis (inflammation of the seminal vesicles) can irritate tissues and cause bleeding.
  • Medical Procedures: A recent biopsy of the prostate, vasectomy (sterilization procedure), or cystoscopy (bladder exam) can irritate tissues and cause temporary blood in semen.
  • Strenuous Activity: Vigorous sexual activity or heavy lifting can sometimes cause small blood vessels to break, leading to blood in semen.
  • Medications: Certain blood thinners or medications that affect the prostate can increase the risk of bleeding.
  • Medical Conditions: Less common causes include tumors, cysts, or kidney stones.

 

Blood in semen’s symptoms


You may notice pink, red, or brownish semen, sometimes accompanied by blood in the semen. Occasionally, pain during ejaculation or urination. 

Other symtoms to watch for:

  • Pain during ejaculation
  • Frequent urination
  • Burning sensation during urination
  • Blood in the urine
  • Lower abdominal pain
  • Pelvic pain
  • Difficulty urinating

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How to diagnose the cause of blood in semen?


Your doctor will likely ask about your medical history, sexual habits, and any other symptoms you might be experiencing. A physical exam and various tests can be performed to determine the cause, such as: 

  • Physical Examination: Checking for any abnormalities in the genital area.
  • Urine Tests: Detecting infections or blood.
  • Semen Analysis: Examining semen for the presence of blood and other abnormalities.
  • Imaging Tests: Ultrasound or MRI to visualize the reproductive organs.
  • Cystoscopy: Inserting a camera into the urethra to examine the bladder and prostate.

 

What is the Treatment for Blood in semen?


The treatment for blood in semen depends on the underlying cause. Here are some examples:

  • Infections: Antibiotics to treat bacterial infections.
  • Anti-inflammatory Medications: For conditions like prostatitis.
  • Observation: In many cases, hematospermia resolves on its own without treatment.
  • Addressing Underlying Conditions: Treating hypertension or blood disorders if they are contributing factors.

See a doctor to diagnose the cause and analyze if your condition needs more treatment.

 

How to prevent blood in semen?


  • Practice safe sex: wear a condom, take PrEP, and get tested regulary to avoid STIs.
  • Healthy lifestyle: Maintaining a healthy weight, exercising regularly, and eating a balanced diet can promote overall health and potentially reduce the risk of some conditions causing blood in semen.
  • Open communication with your doctor: Regular checkups and discussing any concerns about your sexual health are important.

 

When to See a Doctor?


Blood in semen usually doesn't lead to severe issues but do see a doctor for diagnosis especially 

  • If blood in semen persists for more than a few weeks.
  • The condition is accompanied by other symptoms like significant pain, fever, or urinary issues.
  • If there's a history of prostate or testicular cancer.
  • Recent trauma or medical procedures in the genital area.

 

Conclusion


For younger men with no history of other medical conditions, bleeding may occur once or twice, however, it usually disappears on its own without having to take any medical treatments. If you bleed repeatedly and there are other symptoms like painful urination or ejaculation, it is best to see a doctor for a proper diagnosis. For men with risk factors for cancer, it is well-advised to take tests and medical examinations required by the doctor. 

 

 

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