What causes hematospermia and how to treat it

Hematospermia may be caused by seminal vesiculitis, prostatitis, urethral injury, reproductive system tuberculosis, seminal vesicle tumors, etc., and can be improved through drug treatment, physical therapy, surgical treatment, etc. Hematospermia refers to semen mixed with blood, usually appearing as pink, red or brown semen, which may be accompanied by symptoms such as ejaculation pain and perineal discomfort.

1. Seminal vesiculitis

Seminal vesiculitis is the most common cause of hematospermia, which may be related to bacterial infection, excessive sexual life and other factors. Patients may experience symptoms such as pain during ejaculation and a feeling of distension 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. It is necessary to avoid sexual intercourse during the acute stage and keep the perineum clean and dry.

2. Prostatitis

Prostatitis may cause blood in semen, which is often caused by bacterial infection, prolonged sitting, drinking and other factors. Patients may have symptoms such as frequent urination, urgency, and perineal pain. Tamsulosin hydrochloride sustained-release capsules, Qianlieshutong capsules and other drugs can be used as directed by the doctor, in conjunction with prostate massage treatment. Spicy and irritating foods should be avoided in daily life, and proper drinking water should be used to promote urination.

3. Urethral injury

Urethral injury may be caused by urethral instrumentation, excessive sexual intercourse, etc. Patients may experience symptoms such as painful urination and bleeding from the urethra. Mild injuries can recover on their own by drinking more water and resting. In severe cases, cefdinir capsules must be used as directed by a doctor to prevent infection. During the recovery period, sexual intercourse should be prohibited and activities that put pressure on the perineum such as riding a bicycle should be avoided.

4. Reproductive system tuberculosis

Reproductive tuberculosis may cause hematospermia, usually secondary to pulmonary tuberculosis. Patients may have systemic symptoms such as low fever, night sweats, and weight loss. Anti-tuberculosis drugs such as isoniazid tablets and rifampicin capsules must be used as prescribed by the doctor for standardized treatment. During treatment, nutrition should be strengthened, adequate rest should be ensured, and liver and kidney function should be reviewed regularly.

5. Seminal vesicle tumors

Seminal vesicle tumors are rare and may cause persistent hematospermia. Patients may experience symptoms such as reduced ejaculation volume and pelvic discomfort. After diagnosis, treatment methods such as transurethral seminal vesiculoscopic surgery and laparoscopic surgery can be selected according to the condition. Postoperative review is required to observe changes in the condition and cooperate with radiotherapy or chemotherapy if necessary.

When symptoms of hematospermia occur, excessive stress should be avoided, but it cannot be ignored. It is recommended to record the frequency of hematospermia, accompanying symptoms and other information, and provide it to the doctor for reference when seeking medical treatment. During treatment, you should maintain a regular schedule and avoid staying up late and overexertion. You can appropriately add fruits and vegetables rich in vitamin C to your diet, such as kiwi, oranges, broccoli, etc., which can help enhance blood vessel elasticity. Moderate exercise such as walking and swimming can promote pelvic blood circulation, but strenuous exercise should be avoided. Stop smoking and limit alcohol consumption to reduce irritation to the reproductive system. If the hematospermia persists or worsens, a timely reexamination should be conducted to rule out the possibility of serious disease.