What is the condition of hematospermia?

Hematospermia usually refers to semen mixed with blood, which may be related to diseases such as seminal vesiculitis, prostatitis, urethral injury, reproductive system tuberculosis or tumors. The main manifestation of hematospermia is that the semen is pink, red or dark red, which may be accompanied by symptoms such as pain during ejaculation, frequent urination, and urgency. It is recommended to seek medical examination promptly and provide targeted treatment after the cause is determined.

1. Seminal vesiculitis

Seminal vesiculitis is the most common cause of hematospermia, mostly caused by bacterial infection. In addition to hematospermia, patients are often accompanied by lower abdominal distension and perineal discomfort. Fever may occur during the acute phase. Treatment requires the use of antibiotics such as levofloxacin tablets and cefixime dispersible tablets as directed by the doctor, along with warm water sitz baths to relieve symptoms. Sitting for long periods of time and spicy food should be avoided on a daily basis.

2.Prostatitis

Prostatitis may cause the seminal vesicles to become congested, causing blood to mix with the semen. Patients may experience frequent urination and incomplete urination at the same time. For hematospermia caused by chronic prostatitis, you can use tamsulosin hydrochloride sustained-release capsules, Qianlieshutong capsules and other drugs as directed by your doctor. Maintaining a regular sexual life can help discharge prostatic fluid, but excessive frequency should be avoided.

3. Urethral injury

Injury to the urethral mucosa can cause blood to be directly mixed into semen, which is common after rough sex and urethral instrument examination. This type of hematospermia is mostly transient and usually heals on its own within 1-2 weeks. During this period, you should suspend sexual life and drink more water to dilute your urine. If bleeding continues, organic problems such as urethral stricture need to be ruled out.

4. Reproductive system tuberculosis

Tuberculosis of the genitourinary system may damage the blood vessels in the walls of the seminal vesicles, causing hematospermia, often accompanied by systemic symptoms such as low fever and night sweats. Confirmation requires a tuberculin test, semen culture and other examinations. Treatment requires standardized use of anti-tuberculosis drugs such as isoniazid tablets and rifampicin capsules, and the course of treatment usually takes 6-9 months.

5.Tumor diseases

Malignant tumors such as seminal vesicle cancer and prostate cancer may have hematospermia as the first symptom and are more common in middle-aged and elderly men. Hematospermia caused by tumors often recurs and gradually worsens, and may be accompanied by weight loss. The diagnosis needs to be confirmed through digital rectal examination, PSA test, MRI and other examinations, and surgery or radiotherapy can be selected according to the stage.

After the occurrence of hematospermia, the frequency of attacks and accompanying symptoms should be recorded, and strenuous exercise and alcohol consumption should be avoided. It is recommended to wear loose cotton underwear to keep the perineum clean. You should eat a light diet and consume more vegetables and fruits rich in vitamin C to help repair blood vessels. Patients over 40 years old or with recurrent hematospermia for more than one month must seek medical attention as soon as possible to rule out malignant lesions. During the treatment period, you need to follow the doctor's instructions for regular review until the symptoms completely disappear.