what is blood in semen

Overview

The presence of blood in semen, i.e. hematospermia, may occur in men at any age after puberty. It is often fatal. It is most prevalent in men aged 30 to 40, as well as those over the age of 50 who already have benign prostatic enlargement.

The overwhelming majority of instances are self-resolving and do not need medical intervention.

While the presence of blood in sperm is frequent, it is not a natural occurrence. Depending on the blood supply, it may show as a brownish or red color in the sperm. For the majority of people, it is painless, and they only notice it after ejaculation.

When men discover blood in their sperm, they are frequently worried, even if it is not always a sign of a more serious problem. On the other hand, if you see any blood in your sperm, you should seek medical attention right away.

Blood in sperm that occurs once or twice in a young man’s life without accompanying symptoms or a family history of particular medical problems is usually not required to treat. Without treatment, it will usually heal on its own.

If your doctor determines that you have recurring bouts of blood in your sperm, as well as painful urinary or ejaculatory symptoms, you may be sent to a urologist.

Blood in semen treatment is based on the underlying cause. The treatment option includes antibiotics. In certain instances of inflammation, anti-inflammatory medications may be needed.

If the doctor determines that the issue is the result of an STD or a medical condition such as high blood pressure or liver disease, the problem will be treated accordingly.

Home remedies for blood in sperm can be successful in certain instances. If you have been in an accident, just relaxing and letting your body recover may be sufficient to remove blood from your sperm. If your groin is also swollen, apply ice to the affected region for 10 to 20 minutes at a time, but no longer than necessary. Fortunately, the overwhelming majority of hematospermia patients resolve spontaneously.

Symptoms

Hematospermia, the presence of blood in semen, is primarily identified by the visible discoloration of the ejaculate. Nevertheless, there are instances when it may be accompanied by additional symptoms, although these are not always present. Common manifestations of hematospermia include:

Blood in Semen

The most conspicuous indicator of hematospermia is the detection of blood within the ejaculated semen. This blood may present in various shades, such as pink, red, or a brownish hue, and at times, it may appear as streaks or be distributed throughout the semen.

Pelvic Discomfort or Pain

Some individuals experiencing hematospermia may encounter mild pelvic discomfort or pain during or after ejaculation. This discomfort can vary from a subtle ache to more pronounced, sharp sensations.

Urinary Symptoms

Hematospermia is occasionally associated with urinary issues, including a burning sensation during urination, increased urinary frequency, or difficulties with the urinary process. These symptoms may suggest an underlying infection or inflammation.

Fever and Chills

In cases where infection is the root cause of hematospermia, individuals might undergo flu-like symptoms, including fever and chills. These symptoms could imply a more extensive infection within the genitourinary system.

Presence of Blood Clots

On occasion, individuals may notice the presence of blood clots within the semen, which can contribute to the overall appearance of blood in the ejaculate.

Causes

The testicles, a network of ducts (tubing), and numerous glands that enter the ducts to generate sperm and eggs make up the testicular system in men. The testicles are in charge of spermatozoa production. Sperm and fluid (semen) are released from the penis and proceed through the urethra, where they are ejected (released). Blood loss may happen at any time throughout the trip.

A number of male genitourinary system diseases may cause the presence of blood in sperm to be detected. The majority of men who undergo a prostate biopsy may have blood in their sperm for three to four weeks following the procedure. A vasectomy may also result in bloody sperm for approximately a week following the operation.

 The occurrence of hematospermia in people who have not recently undergone a prostate biopsy or a vasectomy is a side effect of certain benign and malignant male reproductive system illnesses, such as prostate cancer and vasectomy. In a large percentage of cases, there is no obvious cause for the occurrence.

Any portion of the male reproductive system that is inflamed, infected, obstructed, or damaged may result in hemospermia. The seminal vesicles and the prostate are the main organs that contribute fluid to sperm. Blood may collect in the sperm as a consequence of an infection, inflammation, or damage in any of these organs, impairing the capacity to fertilize.

Blood may be seen in sperm as a standalone symptom or in combination with other symptoms.

Despite the fact that rough intercourse is not the cause of the bleeding, blood may be found in sperm during or after a sexual session. Blood pouring from the urethra, on the other hand, is not necessarily linked with hematospermia. In certain individuals, ejaculating blood may occur as a result of severe genital/urinary tract damage.

Hematospermia which is linked with prostate inflammatory diseases is a self-resolving issue that may last for 1-2 months. It may take up to 4 weeks to heal hematospermia. If it persists after 2 months, it should be reported to identify the cause.

Treatment

The treatment of hematospermia depends on the underlying cause. In many cases, no specific treatment may be necessary, as the condition often resolves on its own. However, if the bleeding persists or is recurrent, or if there are other concerning symptoms, medical evaluation is crucial. Here are some treatment options based on the cause:

  • Infections: Antibiotics may be prescribed to treat bacterial infections. STIs will require appropriate medication.
  • Inflammatory Conditions: Anti-inflammatory drugs and pain relief medication may be recommended to alleviate discomfort.
  • Trauma or Injury: Rest, avoiding sexual activity for a period, and managing any underlying trauma are typically sufficient.
  • Medical Procedures: In most cases, the bleeding following medical procedures is temporary and self-limiting.
  • Tumors or Growths: In rare cases where a tumor is the cause, surgical intervention or other specialized treatments may be required.

When to see a doctor

If you are under the age of 40 and see blood in your sperm, it will most likely vanish on its own. However, it is important to schedule a physical examination to rule out a medical problem such as STDs.

If you have specific risk factors and symptoms, further testing may be required to rule out a possibly more serious underlying illness. In case of the following, you need to consult your primary care physician:

  • Age over 40 years
  • Blood-containing sperm for more than three to four weeks.
  • Rapid blood rate in the sperm
  • Urine incontinence

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