SYMPTOMS

What is hematospermia?

Hematospermia refers to the visible presence of blood in semen, appearing bloody or streaked with blood.

Is hematospermia serious?

This condition is relatively rare and mostly benign, but it can have a significant psychological impact on patients when it occurs.

TREATMENT

What to Do After Hematospermia Occurs?

Hematospermia may resolve naturally, so there's no need to worry excessively. With proper treatment, most cases can be cured.

• First, check your medication history. If you are taking anticoagulants and experience abnormal bleeding in other parts of your body, the medication should be adjusted.

• Next, observe whether symptoms like urgency, frequency, or pain during urination accompany the condition. If so, visit a urology department to identify the cause.

• If hematospermia persists for over a month, seek medical attention at a reputable hospital's urology or andrology department.

• Generally, hematospermia caused by malignant tumors is very rare. If concerned, you can undergo relevant examinations.

DIAGNOSIS

Under what circumstances should one actively seek medical attention for hematospermia?

One should actively seek medical evaluation to determine the cause when hematospermia is accompanied by, but not limited to, the following conditions:

• Hematospermia accompanied by urinary abnormalities such as frequent urination, urgency, or pain;

• Persistent hematospermia for an extended period;

• Accompanied by bleeding in other parts of the body or skin bruising/petechiae;

• Presence of scrotal organ swelling or masses, or prostate nodules/enlargement;

• Accompanied by fever;

• Individuals over 50 years of age.

Which department should be consulted for hematospermia?

Andrology or Urology.

POTENTIAL DISEASES

What conditions can cause hematospermia?

• Procedures performed near the seminal tract, such as prostate biopsy or vasectomy. Hematospermia is common in the early stages after prostate biopsy and may persist for 3–4 weeks. It also occurs in a certain proportion of cases after vasectomy. These situations are mostly normal and do not require excessive concern.

• Infectious diseases, such as gonorrhea, prostatitis, or seminal vesiculitis, may also cause hematospermia.

• Tumors or metastatic cancer can also lead to hematospermia, though this is very rare, especially in young men.

• Other conditions: Coagulation disorders caused by diseases or medications may also result in hematospermia.