What causes hematospermia?

Hematospermia may be caused by seminal vesiculitis, prostatitis, reproductive system injury, urinary system stones, tumors and other factors. Hematospermia refers to the presence of blood in semen, which usually appears as pink, red or blood-streaked semen, and may be accompanied by symptoms such as pain during ejaculation and perineal discomfort.

1. Seminal vesiculitis

Seminal vesiculitis is one of the most common causes of hematospermia and may be related to bacterial infection. Patients may experience symptoms such as pain during ejaculation and distension and pain in the lower abdomen. During treatment, antibiotics such as levofloxacin tablets and cefixime dispersible tablets can be used as directed by the doctor, along with warm water sitz baths to relieve symptoms. Sexual intercourse should be avoided in the acute stage of seminal vesiculitis to avoid aggravating the inflammation.

2. Prostatitis

Prostatitis can cause blood in the semen, often caused by bacterial infection or congestion. Patients may experience frequent urination, urgency, and a feeling of swelling in the perineum. During treatment, you can choose tamsulosin hydrochloride sustained-release capsules, Qianlieshutong capsules and other drugs, while maintaining a regular schedule and avoiding prolonged sitting and spicy food. Patients with chronic prostatitis need to adhere to treatment to prevent recurrence.

3. Reproductive system damage

Excessive sexual activity, straddling injuries, etc. may cause capillaries in the seminal vesicles or prostate to rupture and bleed. This situation is usually transient hematospermia, and most of it can recover on its own. Sexual activity should be suspended during recovery and strenuous exercise should be avoided. If bleeding persists for more than two weeks, seek medical attention to rule out other causes.

4. Urinary system stones

Friction of stones in the vas deferens or ejaculatory ducts may cause mucosal bleeding. Patients may have symptoms such as difficulty urinating and low back pain. Treatment requires the selection of drugs such as Paishi granules, sodium potassium hydrogen citrate granules or extracorporeal shock wave lithotripsy based on the size of the stones. You should drink more water every day and reduce your intake of high-oxalate foods.

5. Tumor

Diseases such as prostate cancer and seminal vesicle tumors may also cause hematospermia, which is more common in middle-aged and elderly patients. It may be accompanied by symptoms such as weight loss and bone pain. Confirmation requires prostate-specific antigen testing, MRI and other examinations. Early-stage tumors can be controlled through surgery or radiotherapy. If abnormalities are found, seek medical attention promptly.

When hematospermia occurs, excessive stress should be avoided, but it cannot be ignored. It is recommended to record the frequency of hematospermia and accompanying symptoms, and promptly seek medical examination at the urology department. Maintain moderate exercise every day and avoid riding or sitting for long periods of time. The diet should be light and limit the intake of alcohol and spicy food. Pay attention to the cleanliness of the perineum and moderate sexual life. Men over 40 years old who experience recurrent hematospermia are advised to undergo regular prostate examinations.