Hematospermia Diagnosis and Treatment

In clinical medicine, the most common causes of ejaculation bleeding are orchitis, seminal vesiculitis, and epididymitis. It is recommended to go to the hospital for routine semen examination and B-ultrasound of the urinary system, and a CT examination of the seminal vesicle is necessary to make a definite diagnosis. If it is definitely caused by infection, it is recommended to choose drugs for treatment. The more common drugs in clinical medicine are clarithromycin capsules and hot linqing granules. You can take them orally for two weeks and go to the hospital for a follow-up to see how the treatment works. Eat light food on a daily basis, don't eat spicy food, and don't sit for a long time. Excessive sex is strictly prohibited during the treatment period.

Key points for diagnosis of ejaculation bleeding:

(1) The main symptoms of ejaculation are visible to the naked eye, often accompanied by pain in the lumbar sacral region, lower abdomen and vulva, etc., which can be diagnosed as ejaculation bleeding.

(2) Whenever a patient has a history of bleeding during ejaculation, laboratory tests should be performed. If a polycythemia vera is detected in the semen, a diagnosis can be established.

(3) If the semen is red and the urine is clear, it can be confirmed that there is ejaculation bleeding.

Ejaculation bleeding often subsides on its own.

Common causes of bleeding during ejaculation include:

(1) Diseases of the seminal vesicle and prostate, such as seminal vesiculitis, prostatitis, tuberculosis of the male prostate and seminal vesicle, schistosomiasis, stones, damage, etc.

(2) Tumors, such as cancer of the seminal vesicle and prostate, seminal papilloma, and benign prostatic hyperplasia. Be careful, especially for patients over 40 years old, and first remove

(3) Blood diseases, such as purpura, scurvy, septicemia, etc.

(4) Frequent sexual intercourse or long-term abstinence, sexual tension cannot be released, leading to hematoma of human organs

(5) Others include varicose veins of the seminal vesicle, long-term and repeated compression of the vulva, liver cirrhosis with increased portal vein pressure leading to increased pressure in the hemorrhoidal veins through the collateral prostate veins, and dilation and dehiscence of the veins in the posterior urethral subepithelial tissue beside the seminal collaterals.

Identification of bleeding during ejaculation

1. Ejaculation bleeding and hematuria are discharged from the urethra together, but the two are easier to distinguish. The former is the semen discharged during intercourse or the semen that is slipped out, with blood in the middle; the latter is the blood discharged with urine, making the urine appear bright red.

2. The blood from the swollen urethral mucosa during erection is red and does not mix with the semen, like blood mixed in. Ejaculation bleeding caused by various inflammations and injuries is mixed and uniform, red to brown, because the color of the blood changes after being stored for a long time.