Symptoms
Blood in semen (hematospermia) can be frightening, but the vast majority of time, it's not cause for serious concern. Blood in semen is uncommon, and, most often, it goes away on its own.
Semen consists of sperm and fluids released by the prostate and other glands. The fluids (also called ejaculate) join the sperm as they pass through a series of tubes to the urethra for ejaculation. A number of things can break blood vessels along this route or along the urinary route to the urethra. Broken vessels then leak blood into the semen, urine or both.
Often, no cause can be found for blood in semen. For men under age 40, infection is the most common cause. Infection is usually accompanied by other signs and symptoms, such as fever, genital or urinary pain, difficulty urinating, or blood in your urine.
For men age 40 and older, blood in semen is a slight predictor of a cancer (malignancy), most often prostate cancer. So a more careful evaluation is merited when this sign appears in this age group. But the risk is low. In follow-up studies of more than 800 men who had blood in their semen, cancer was found in less than 4 percent (on average).
More common causes of blood in semen:
Brachytherapy
Chlamydia
Epididymitis
Genital herpes
Gonorrhea
Interrupted sex
Prolonged sexual abstinence
Prostate biopsy
Prostate gland enlargement
Prostatitis
Testicular trauma
Vasectomy
Vigorous sex
Less common causes
Amyloidosis
Benign growths (cysts, polyps) in the bladder, urethra or prostate
Bladder cancer
Fragile blood vessels
Hemophilia
Prostate cancer
Schistosomiasis
Testicular cancer
Thrombocytopenia
Tuberculosis
Von Willebrand disease
Warfarin side effects
Note: Causes shown here are commonly associated with these symptom. Kindly consult to your doctor or other health care Practitioner for an correct diagnosis and treatment.
Dr M Rathod MD, PhD
Ram Speciality Clinic, # 113/697, Opposite to Govt School,
Munnekolala, Bangalore, Karnataka
email: ramclinc2@gmail.com,
Mobile: 9611303443
webiste: www.ramclinic.com