Causes and treatment of bloody semen (hematospermia)

It is the condition of bleeding with semen or before and after ejaculation. In urological terminology hemospermia (Hemospermia) is called as Hematospermia (Hematospermia). It is one of the abnormal discharge types. It can be in the form of a ‘rusty color’ as well as a gross red. This common condition is often painless and sometimes painful. It can be seen in young and old age. The causes differ between young and old. It is completely different from the appearance of blood in the urine.

The experience of blood during ejaculation causes great concern in men. It should be remembered that it can be the first sign of a serious illness. The frequency of this condition, namely hematospermia, is not known in our country and throughout the world, and it is estimated to be common.


The most likely blood source in the semen is the prostate, the adjacent seminal vesicle and other excretory ducts.

The prostate is a small organ that contributes to the formation of chestnut-sized semen just below the bladder. In various pathologies, the complaint of bloody semen can be seen.

The seminal vesicles, on the other hand, are a lumen organ that takes part in the transport and storage of semen. It is called the seminal sac, it is two pieces and is located behind the prostate gland on the right and left. Sperm cells from the testis combine here with the fluids from the prostate. In case of inflammation of the sac, pain and sometimes bloody semen are seen in the groin, waist and anus. Bloody semen complaint can be seen in other pathologies other than inflammation of this sac.

It is important to find the cause, it determines the form of treatment.

Most common causes of bloody semen

  • Nonspecific inflammation of prostate and seminal vesicle
  • epididymitis
  • urinary stones
  • Tuberculosis
  • urethral polyp
  • Trauma
  • Prostate Cancer (advanced age)
  • Vesiculoseminalis tumors
  • Prostatic infarcts

More rare causes

  • Ejaculate duct strictures
  • Discharge duct cysts ( Urticular, Müller duct, VS, VD, prostatic retention cyst )
  • urethral stricture
  • Arterial hypertension
  • Arterio-venous malformations
  • Classic Von Willebrand
  • Hematological diseases
  • cancer metastasis
  • cirrhosis of the liver
  • Aspirin (Drugs)

Diagnosis is possible with a physical evaluation and a series of tests by the urology specialist. It will help you overcome your fear and anxiety because of this situation that caused you a lot of anxiety at first. Then, before performing further diagnostic tests, will review the patient’s history. Many situations will be questioned, such as the patient’s sexual life, whether there is a sexually transmitted disease, history of trauma, recent forced sexual intercourse, and whether there is blood in the urine.

Semen analysis and culture, urinalysis and culture, sexually transmitted or other infection tests, ultrasound or MRI are a few tests that can be done for diagnosis.

Request an appointment with your doctor without hesitation, as it may be the first sign of a serious illness. Remember that it is a treatable complaint.

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