Common causes of hematospermia

Hematospermia is usually caused by seminal vesiculitis, prostatitis, urethral injury, reproductive system tuberculosis or tumors. In most cases, hematospermia is a benign disease, but targeted treatment needs to be taken based on the specific cause.

1. Seminal vesiculitis:

Seminal vesiculitis is the most common cause of hematospermia, mostly caused by bacterial retrograde infection. Patients often experience ejaculation pain, perineal swelling and pain, and the semen is dark red or brown. Treatment requires sensitive antibiotics such as levofloxacin, ceftriaxone, etc., combined with warm water sitz bath to relieve symptoms. Sexual intercourse should be avoided during the acute phase.

2. Prostatitis:

Chronic prostatitis may cause capillary rupture and bleeding, and semen may be mixed with bright red blood streaks. Patients often suffer from symptoms of frequent urination and urgency. The main treatment is quinolone antibiotics, combined with prostate massage to promote the resolution of inflammation. In daily life, you need to avoid triggering factors such as sitting for long periods of time and spicy food.

3. Urethral injury:

Mechanical damage to the urethral mucosa can lead to fresh bleeding, which is common after rough sex and urethral instrumentation. Bright red blood droplets can be seen on the surface of the semen, often accompanied by burning sensation during urination. Mild injuries can heal on their own by drinking more water, but severe bleeding requires urethral compression to stop bleeding.

4. Reproductive system tuberculosis:

When Mycobacterium tuberculosis infects the seminal vesicles or prostate, it may cause tissue necrosis and bleeding. Most patients have a history of low-grade fever and night sweats, and their semen is pink with floc. Anti-tuberculosis treatment needs to be standardized for 6-9 months. Commonly used drugs include isoniazid and rifampin. Liver function needs to be checked regularly during treatment.

5. Tumor lesions:

Malignant tumors such as prostate cancer and seminal vesicle cancer may erode blood vessels and cause bleeding. It is more common in men over 50 years old. The semen is persistently dark red and may be accompanied by pelvic pain and weight loss. A clear diagnosis needs to be made through PSA testing, MRI, etc., and surgery or radiotherapy can be selected based on the stage.

After the occurrence of hematospermia, it is recommended to suspend sexual intercourse for 1-2 weeks and avoid activities that press the perineum such as riding a bicycle. Daily consumption of kiwi, orange and other fruits rich in vitamin C can help repair capillaries. Men over 40 years old or those with recurrent hematospermia need to undergo a timely urinary system examination to rule out the possibility of malignant lesions. Maintain moderate exercise to enhance immunity, but avoid strenuous exercise that may cause pelvic congestion and aggravate bleeding.