Hematospermia Diagnosis and Treatment

Clinically, the most common causes of ejaculation bleeding are orchitis, seminal vesiculitis, epididymitis, etc. It is recommended that you go to the hospital for routine semen examination and B-ultrasound of the urinary system. If necessary, a seminal vesicle CT examination can be done to make a definite diagnosis. If it is clear that it is caused by infection, it is recommended that you choose medicine for treatment. Common medicines in clinical medicine include clarithromycin gel and Relinqing granules. You can take it orally and go to the hospital for a follow-up visit within two weeks to see how effective the treatment is. Eat light food, don't eat spicy food, don't sit down for a long time. It is strictly forbidden to have too much conjugal life during the treatment period.

Key points for diagnosing ejaculation bleeding:

(1) Stubborn semen can be seen with the human eye, often accompanied by symptoms such as pain in the lumbosacral region and pain in the lower abdomen and vulva, which can be diagnosed as ejaculation bleeding.

(2) Whenever a patient has a history of ejaculation bleeding, laboratory tests should be carried out. If multiple blood cells are found in the semen, the diagnosis can be established.

(3) Anyone with red semen and clear urine can be diagnosed with ejaculation bleeding.

Ejaculatory bleeding often resolves spontaneously.

Common causes of ejaculation bleeding include:

(1) Seminal vesicle and prostate diseases, such as seminal vesiculitis, prostatitis, tuberculosis, schistosomiasis, stones, damage to the male prostate and seminal vesicles, etc. Common

(2) Tumors, such as seminal vesicle and male prostate cancer, seminal vesicle papilloma, and benign prostatic hyperplasia. Be careful, especially for patients over 40 years old. The first thing to do is to eliminate,

(3) Blood diseases, such as purpura, scurvy, sepsis, etc.

(4) Frequent sexual intercourse or long-term abstinence, unable to release sexual tension, leading to hematoma in human organs

(5) In addition, such as seminal vesicle varicose veins, long-term and repeated oppression of the vulva, liver cirrhosis accompanied by increased portal vein pressure, which increases the pressure of the hemorrhoidal plexus through collateral prostatic plexus, enlarged and ruptured posterior urethral veins near the seminal vesicle, etc.

Identifying ejaculation bleeding

1. Ejaculatory bleeding and hematuria are discharged from the urethral opening together, but the two are easier to distinguish. The former is the semen discharged during sexual intercourse or the semen ejected from the vagina, with blood in the center. ； The latter is when blood comes out with the urine, making the urine appear bright red.

2. The blood from the hematomatous urethral orifice mucosa during erection is red and does not mix with semen, as if mixed with blood. Ejaculatory bleeding caused by various inflammations and traumas is evenly mixed and red to brown in color. This is because the color of the blood changes after being stored for a long time.