Can red sperm heal itself?

Some men find that their sperm is red. In fact, this is hemospermia. Many male friends who encounter hemospermia think that their bodies can heal themselves. So can red sperm heal itself? In fact, the probability of self-healing is very small, because there are many reasons for the occurrence of hemospermia. Only through examination can we know the specific treatment or recovery method.

Hematospermia is a common disease in men's and urology, which refers to the presence of blood in semen. Depending on the amount of blood contained, it can manifest as blood in the semen, blood mixed in the semen, or a small amount of red blood cells under a microscope. Strictly speaking, hematospermia is only a clinical manifestation, not a disease. Hematospermia can occur at any age after development, generally more common in young men aged 30 to 40 who are in the peak period of sexual activity, and 80% to 90% present intermittent attacks. Hematospermia is mostly a benign self-limiting disease that only requires conservative treatment. However, some patients with severe and persistent hematospermia may be at risk of potential other serious pathological changes and need further treatment measures.

Hematospermia can be caused by lesions in various parts and tissues of the semen transport pathway, but it mainly originates from the seminal vesicle, prostate and posterior urethra. Hematospermia can be divided into functional and organic. Functional hematospermia is caused by the contraction of the seminal vesicle when a man reaches orgasm and the relaxation after ejaculation, which causes the pressure of the seminal vesicle to change rapidly, and the capillaries on the cyst wall are damaged, causing bleeding or capillary permeability changes and bleeding. Organic hematospermia is caused by certain diseases, and common causes include:

1. Inflammation

Reproductive system infection is the most common cause of hematospermia. Infection pathogens include viruses, bacteria, tuberculosis and parasites, etc. It can also be the result of trauma, urethral foreign bodies, and chemicals. Common ones include seminal vesiculitis, prostatitis, posterior urethritis, seminal vesicle tuberculosis, epididymal orchitis, etc. Stones in the prostate, seminal vesicle or vas deferens can also cause hematospermia.

2. Obstruction or cyst

Ejaculatory duct obstruction can cause the proximal end of the obstruction to dilate and swell, leading to rupture and bleeding of mucosal blood vessels. Common examples include seminal vesicle cysts, ejaculatory duct cysts, seminal vesicle diverticula, ejaculatory duct cysts, and prostate cysts.

3. Tumor

A variety of benign tumors of the urogenital tract can cause hematospermia, such as posterior urethral adenoma, leiomyoma, fibroma, adenomatous polyp and prostatic hyperplasia. Malignant tumors of the bladder, prostate, testicles and seminal vesicles can also cause hematospermia.

4. Vascular abnormalities

Varicose veins of the seminal vesicle, prostatic urethra, and bladder neck are the causes of hematospermia. In addition, vascular abnormalities in the reproductive system can cause hematospermia, including pelvic arteriovenous malformations, prostatic hemangiomas, seminal vesicle and spermatic cord hemangiomas, etc.

5. Damage

Most of them are iatrogenic, and are commonly seen in prostate puncture biopsy, intraprostatic drug injection, prostate cancer radiotherapy, transurethral instrumentation or pelvic surgery leading to seminal vesicle damage, and after vasectomy, after extracorporeal shock wave lithotripsy of distal ureteral stones, after hemorrhoid injection treatment, etc. In addition, it is also seen in perineal trauma, gonadal trauma, pelvic fracture, etc.

6. Systemic factors

Hypertension, blood diseases (lymphoma, thrombocytopenia, leukemia, hemophilia) and anticoagulant abnormalities secondary to liver disease can cause hematospermia.