What to Do If You Notice Blood in Your Semen

There are few things scarier than seeing blood in your bodily fluids. It can be scary, worrying and traumatic. When blood appears in your semen, it can seem especially scary. This condition is called hematospermia. However, in most cases, it isn’t something serious. While it is uncommon, it usually goes away after one occurrence. Read on to find out more about the possible causes, symptoms and treatments should you find blood in your semen.

An infection or inflammation is the most common cause of hematospermia. Any infection or inflammation of the glands, ducts or tubes that make up the male reproductive system can cause blood to occur in your semen. The prostate, which is a gland that creates your semen can become infected or inflamed and cause bleeding. An infection or inflammation to the seminal vesicles, urethra, epididymis or vas deferens can also cause blood to leak into the semen. Basically, any infection or inflammation that occurs anywhere semen goes through can cause this. These can include prostatitis, orchitis, urethritis, epididymitis and chronic nonbacterial prostatitis.

Another possible cause of blood in the semen is a sexually transmitted disease. STD’s such as chlamydia or gonorrhea are also likely to cause hematospermia usually due to the lesions they cause.

Any physical trauma to the sexual organs can cause blood to appear in your semen. This includes medical procedures including biopsies and internal examinations. Procedures done for any urinary issue can also cause blood in the semen. Surgeries for hemorrhoids, cancer or a vasectomy can also cause this. Physical trauma can also come from things like excessive sexual activity, pelvic fractures, taking a hit to the groin with an object, among many others. Even rigorous masturbation can cause hematospermia. The bleeding from these types of trauma will typically take a few weeks to disappear.

Another possible cause is obstruction in your reproductive tract. The male reproductive system is made up of many small ducts and tubes and any of these can become blocked. When this happens, blood vessels can break and release tiny amounts of blood. In particular, there is a condition called benign prostatic hyperplasia, or BPH, which is an enlargement of the prostate. The enlarged prostate causes the urethra to become pinched and blood can leak into semen when this happens.

A more uncommon cause of blood in the semen is from the presence of polyps or tumors. A tumor in the prostate, bladder, urinary tract or anywhere else in your reproductive system can cause blood to appear in the semen. If you are over 40 years of age and blood appears in your semen suddenly, it’s always a good idea to get checked out as older men are more at risk for cancers in this area. If you have any risk factors for cancer, such as a family history or if you’ve worked in the nuclear industry, it’s a good idea to have it checked out by your doctor. Polyps can also cause blood in the semen, and these growths are generally benign.

Issues with the blood vessels involved in ejaculation can also be a cause of hematospermia. In particular, blood can occur in semen if the blood vessels in the prostate become damaged.
There are also certain medical conditions which can cause hematospermia. Everything from liver issues to high blood pressure to HIV can cause blood in the semen. A certain type of arthritis called reactive arthritis or Reiter’s Syndrome can also cause this problem. This condition is caused by an infection and can affect many areas of the body including the urinary system.

Besides cancer, one of the other serious causes of blood in the semen is a condition called torsion of the testes. This happens when the spermatic cord is twisted. This cord carries the blood to your testicles. If the cord twists, the blood supply to the testes can be cut off. This can cause blood in the semen, however, one of the main symptoms is severe pain. So if you are experiencing severe pain with the blood, it’s critical that you get to a hospital immediately, as this is considered a medical emergency and it can cause permanent damage. Men who have this condition are usually born with a predisposition to it and may have weakened reproductive tissues. This issue mainly occurs in adolescent males, but can appear in older men as well.

In some cases, blood in the semen can’t be traced back to any cause and will simply go away on its own.

Treatments for blood in the semen vary widely according to the cause, but in most cases no treatment is prescribed.
Even though it’s usually not a serious issue, you should always have any instance of blood in your bodily fluids checked out by your doctor, just in case.

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