What Causes Blood in Semen?


Blood in Semen can tell you anything? It can be a frightening experience to see blood in semen, but since most medically recorded cases of this phenomenon are harmless, there is a huge chance that you might not have anything to worry about. Hematospermia, or the presence of blood in the semen, is a frightening symptom that most men are anxious about due to fears of sexually transmitted diseases or malignancy. If you are 50 years old or below without feeling any accompanying symptoms, there is no reason for alarm. You can think of blood in semen just like the presence of blood during a bad cold or cough. It may be a sign of problems, but there is no reason to panic. In any instance, however, seeking medical opinion is recommended. If you’ve recently just witnessed blood in semen, here is everything you need to know about this phenomenon for possible treatments and peace of mind.

Who is Affected?

A majority of people with hematospermia report the presence of red to brownish streaks in their semen. A huge chunk of these people, about 90%, have not experienced genitourinary symptoms or other factors in history. Men ages fourteen to seventy-five have been reported to be affected by hematospermia, with the age averaging out in the late 30s. In some cases, however, hematospermia also affects men in their thirties or forties. 90% of all the men who have experienced hematospermia will experience them again at some point in their lives.

Hematospermia has a plethora of causes, most of which are conditions that affect the genitourinary system. Organs possible affected by hematospermia include the urethra, the bladder, the testicles, the seminal vesicles, the epididymis, or even the prostate gland. In most cases, blood in semen is a side effect of prostate-gland biopsy. About 80% of all men who have undergone prostate biopsy will have blood present in their semen for about three or four weeks. Just like prostate biopsy, vasectomy will also cause some men to experience bleeding in their semen for seven days after the procedure has been completed.

However, for men who have not undergone recent vasectomy or prostate biopsy, a variety of malignant or benign conditions of the genital system may possible be the cause. In a majority of these situations, no particular definitive cause has been located. Here are some of the most popular conditions that have been reported to cause hematospermia.

– The presence of malignant or benign tumors in the bladder, seminal vesicles, testes, or prostate
– A variety of infections that may or may not be sexually transmitted. These infections are but not limited to herpes, Chlamydia, trichomoniasis, or cytomegalovirus.
– The inflammation or swelling of the prostate known as prostatitis, inflammation of the urethra called urethritis, or the inflammation of the epididymis known as epididymitis
– The presence of stones, called calculi, in the prostate or seminal vesicles
– The presence of urethral polyps
– Obstructions located in the duct or pathway used for ejaculation
– Cancers that have metastasized or spread from other parts of the body, in this case, the genitourinary system
– The presence of hemorrhage, cysts, or abnormalities of the seminal vesicles

What Are the Symptoms of Blood in Semen?

Apart from the presence of blood in semen, hematospermia may be accompanied by a variety of other symptoms that are inclusive. Depending upon the cause of your blood in semen, you may feel pain while you urinate, pain when you ejaculate, find a presence of blood in your urine, pain in your lower back, fever, pain or tenderness in the scrotum or the testes, swelling the in the scrotum or the testes, or tenderness and swelling around the groin area.

How is Hematospermia Evaluated?

There are varieties of diagnostic tests that may be performed after a patient’s clinical history is thoroughly evaluated and a meticulous physical examination is performed. One of the most popular diagnostic tests which are performed to people with blood in semen is urinalysis. The urine will be studied for presence of infections or sexually transmitted diseases. Sometimes, the doctor may perform MRI or ultrasound around the area to check the site for tumors and other possible abnormalities. Sometimes, a semen sample may be taken as well.

What Are the Treatment Options for Blood in Semen

Treatment options for blood in semen are directed towards finding a solution to an underlying cause if an underlying cause has been successfully found. In some cases, doctors will advise patients with blood in semen to take antibiotics, most especially if the cause is prostatitis. This procedure is done because according to studies, about one fourth of men who suffer from hematospermia are also affected with prostatitis. The results and the benefits of such treatment procedure, however, have not been solidly established.

In a majority of hematospermia cases where blood in semen is not caused by another underlying condition, no further treatment is needed and the condition is allowed to resolve over time. However, in cases where hematospermia has persisted for about a month or more, even amidst the absence of underlying conditions and other symptoms, medical attention is advised.

What You Should Expect On Your Visit to the Hospital

In the hospital, you will have to undergo physical examination. The health care provider will check of you have fever, determine of you have swollen lymph nodes, see if you have urethral discharge, check if your scrotum is tender or swollen and will see if there is any enlargement to the prostate. The health care provider will ask you a plethora of questions to better diagnose your problem. You will be asked about how much blood you witness in your semen, when the first time you noticed the problem is, what other symptoms accompany your blood in semen, and if there was anything that you know may have caused the symptom. After the interview, you may be sent for a variety of tests which may or may not include a prostate exam, a PSA blood test, urine culture, urinalysis, semen culture semen analysis, or ultrasound of your scrotum and pelvis to determine if tumors are causing your blood in semen.

Source: Papermed.com


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