Blood in Semen (Hematospermia)

Overview

Blood in semen (hematospermia) is a condition where blood appears in the ejaculate. While often alarming, it's usually benign and self-resolving in most cases, particularly in men under 40.

Common Causes

Inflammatory Conditions

• Prostatitis (inflammation of the prostate)
• Urethritis (inflammation of the urethra)
• Epididymitis (inflammation of the epididymis)

Physical Causes

• Recent prostate biopsy
• Sexual activity or prolonged abstinence
• Trauma to the genital area
• Recent urological procedures

Medical Conditions

• High blood pressure
• Blood clotting disorders
• Prostate or testicular infections
• Rarely, tumors or cancers

When to Seek Medical Attention

Immediate medical evaluation is recommended if:

• Blood in semen persists beyond 6 weeks
• Accompanied by pain or other urinary symptoms
• Age over 40 with risk factors
• Associated with fever or weight loss

Diagnosis

Your healthcare provider may perform:

1. Physical examination
2. Urinalysis
3. STI screening
4. Prostate examination
5. Imaging studies (if needed)

Treatment

Treatment depends on the underlying cause:

• Most cases resolve spontaneously
• Antibiotics for infections
• Management of underlying conditions
• Lifestyle modifications as needed

Prevention

• Regular physical examinations
• Prompt treatment of infections
• Proper protection during physical activities
• Management of chronic conditions

Outlook

The prognosis is generally excellent, with most cases resolving naturally within several weeks.