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Male Sexual Dysfunction

Hematospermia (Blood in Semen)

Hematospermia is the presence of blood in the semen. While alarming, it is usually benign and self-limiting. Common causes include prostate inflammation, prostatic procedures, or seminal vesicle issues.

90%
Success Rate
2-8 weeks; typically resolves within 2 months
Duration
Multiple
Treatment Options
3+ Groups
May Affect

What is Hematospermia (Blood in Semen)?

Hematospermia is the presence of blood in the semen. While alarming, it is usually benign and self-limiting. Common causes include prostate inflammation, prostatic procedures, or seminal vesicle issues.

Prevalence: Common; affects men of all ages; accounts for 1-2% of urology visits

Symptoms and Signs

  • Red, pink, or brown discoloration of semen
  • Blood streaks visible in ejaculate
  • Pain during ejaculation (sometimes)
  • Blood in urine (occasionally)
  • Lower back or pelvic pain (rare)
  • Anxiety about the appearance of semen

Causes and Risk Factors

Common Causes

  • Prostate biopsy or recent urologic procedure
  • Prostatitis or seminal vesicle inflammation
  • Vigorous sexual activity
  • Benign prostatic hyperplasia (BPH)
  • Prostatic calculi or cysts
  • Hypertension or bleeding disorders

Risk Factors

  • ⚠️Recent prostate biopsy
  • ⚠️Prostatitis
  • ⚠️Age over 40
  • ⚠️Uncontrolled hypertension
  • ⚠️Anticoagulant medications

Treatment Options

Expected Outcomes: Over 90% of cases resolve spontaneously within 1-2 months without specific treatment

Available Treatments:

  • Reassurance and observation (most cases resolve spontaneously)
  • Anti-inflammatory medications
  • Treatment of underlying BPH
  • Cystoscopy (for persistent or recurrent cases)
  • Transrectal ultrasound evaluation
  • Treatment of bleeding disorders

Prevention Tips

  • Avoid vigorous sexual activity after procedures
  • Treat prostatitis promptly
  • Control blood pressure
  • Use caution with blood thinners

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