The Presence of Blood in Semen: 20 Possible Causes

Blood in semen can bother anyone. In most cases, there is nothing to worry about and will gets better on its own within a few days.

But in few cases, it can be a symptom of an illness.

2.5% of men have blood in their semen at least once in their life.

In about 90% of cases, it is observed only in men over 35 years of age.

Let’s find out the causes, symptoms, and treatment of blood in semen.

Blood in Semen Causes

The presence of blood in semen is called hematospermia.

We can divide hematospermiainto two parts, primary hematospermia and secondary hematospermia.

Primary hematospermia occurs on its own for no reason and gets better within a few days.

blood in semen
blood in semen causes

Secondary hematospermia is caused by a disease and treatment is needed.

There can be many reasons why there is blood in semen like

  • Injury in genitals
  • Rigorous Sex
  • Enlarged Prostate
  • Infection in the prostate (Prostatitis)
  • Sexually transmitted disease (STD)
  • Epididymitis
  • Urethritis
  • Urinary tract infection (UTI)
  • Abstaining from sex for a long time or having frequent sex
  • Excessive masturbation
  • Defect in the genitals
  • Ejaculatory duct obstruction (EDO)
  • Tumor
  • Seminal vesicle cyst or stone
  • High blood pressure
  • Hemophilia
  • Blood Cancer
  • Chronic liver disease
  • Tuberculosis (TB)
  • Testicular cancer

Symptoms of Blood in Semen

Along with blood in the semen, if you are seeing any of these symptoms, then you must contact the doctor at once.

  • Pain during ejaculation
  • Pain or burning sensation while urinating
  • Swelling or pain around the genitals
  • Blood in urine

Diagnosis of Blood in Semen

If your age is above 40 then you must get some tests done if there is blood in the semen.

Because blood in semen after the age of 40 can be a symptom of some diseases.

If you are under 40, in most cases, bleeding from the semen gets better on its own.

  • PSA blood test
  • Ultrasound or MRI
  • Kidney Function Test
  • Urine Analysis
  • STD Test
  • Cystoscopy

Blood in Semen Treatment

If your age is below 40 then the doctor does not prescribe any test or treatment and it gets cured on its own in most of the cases.

But when the age of the patient is above 40, the doctor first gets the test done, then according to the test, he starts the treatment of the reason for which the blood is coming.

The treatment for blood in semen largely depends on its underlying cause:

Infection Treatment – Antibiotics are prescribed to address bacterial infections.

The specific antibiotic and duration of treatment are determined based on the type and severity of the infection.

Addressing Medical Conditions – Treatments for conditions like prostate enlargement or urethral stricture vary.

These might include medication, minimally invasive procedures, or, in some cases, surgery.

Observation and Follow-up – In cases where no specific cause is identified and the condition is not recurring, a ‘watch and wait’ approach might be advised.

Regular follow-ups will monitor any changes.

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