What is the cause of blood in ejaculation?

During sexual intercourse, when men reach orgasm, they will ejaculate. Normally, the ejaculated sperm is milky white. Bloody semen is not easy to be immediately noticed by people unless there is a lot of bleeding. However, if there is blood in the ejaculated semen, many people will inevitably feel nervous and often worry about whether they have a certain disease. So what is going on? Let's explore it together.

1. Causes of hematospermia

If the hematospermia occurs only occasionally and no specific changes are found after examination, it may also be caused by the rupture and bleeding of tiny blood vessels in certain tissues due to rapid congestion and mechanical collision during sexual intercourse. There is no need to panic about this kind of transient hematospermia, as it can be completely recovered by suspending sexual intercourse for one or two weeks. Bleeding caused by inflammation is mostly intermittent, but does not last long. If the hematospermia persists and continues to worsen, the possibility of a tumor cannot be ruled out. Individual patients with extensive bleeding tendencies in other parts of the body are likely to have systemic blood system hemorrhagic diseases, such as leukemia and thrombocytopenia, rather than the consequences of local lesions.

Other causes include: tuberculosis, seminal vesicle cyst, seminal vesicle tumor, prostate cancer, portal hypertension due to cirrhosis, trauma, urinary tract obstruction, prostate hypertrophy, etc.

2. Clinical manifestations of hematospermia

The infection route, etiology, clinical manifestations and symptoms of seminal vesiculitis and prostatitis are basically similar. Most of them are bacterial infections, but they can also be caused by excessive sexual intercourse or long-term abstinence, which can lead to organ congestion due to sexual tension that cannot be released. Seminal vesiculitis is often characterized by hematospermia during sexual intercourse, accompanied by decreased libido, premature ejaculation, mild pain or bloating in the perineum, pain during ejaculation, frequent urination and painful urination. Prostatitis is also accompanied by burning sensation during urination, urgency, continuous urination or milky white mucus flowing out of the urethra after urination, unlocalized pain, and even sexual dysfunction such as premature ejaculation, spermatorrhea, and erectile dysfunction.

3. Diagnosis and treatment methods

When collecting secretion samples for clinical laboratory tests, attention should be paid to the relationship between the pressing area of ​​the rectal index and the secretion. First, massage the prostate to collect prostatic fluid, and then massage the left and right seminal vesicles after urination to collect seminal vesicle fluid. This will help to distinguish and diagnose the two. If necessary, seminal vesicle angiography can be performed to clarify the diagnosis. Laboratory examination can find a large number of red blood cells in semen.

The treatment principles of hematospermia are basically the same (except for tumors, tuberculosis, etc. that require special treatment). During the acute bleeding period, sexual intercourse is mainly taboo. After the hematospermia disappears, you should still rest for 1-2 weeks. After recovery, sexual intercourse should not be too frequent or too intense. Avoid drinking and spicy food to avoid aggravating the degree of congestion. Do not ride a bicycle or horse for long distances. Massage the seminal vesicle and prostate gland once a week to help discharge inflammatory secretions. Take a hot water sitz bath once a day for 15-20 minutes each time, with a water temperature of 41-42°C (a course of treatment is 30 days, and the next course can be started after a 10-day rest). Antibiotics such as penicillin, gentamicin, and kanamycin (muscular injection, local ion introduction, etc.); hemostatic drugs such as vitamin K and anesthetic are also necessary for symptomatic treatment. You can also use physical therapy and Chinese medicine for treatment. If you have posterior urethritis, you can use posterior urethral liquid infusion therapy. As long as the treatment is appropriate, it will not affect sexual intercourse and fertility after recovery, so there is no need to worry. However, you should not be careless, so as not to delay treatment and affect fertility.