Overview of Heavy Bleeding During Ejaculation

In fact, we know that in medicine, blood in semen can be divided into macroscopic blood in semen and microscopic blood in semen. Chinese medicine also calls it "red turbidity". Blood in semen is more common in young men aged 25 to 40 years old. It is a common symptom in men's department. Patients often find blood in semen after masturbation or sexual intercourse. This phenomenon can last for a long time, often causing mental tension, increased mental burden and even fear. Well, let's talk about the overview of heavy bleeding during ejaculation.

If you encounter hematospermia in your daily life, you should pay attention to whether there are other accompanying symptoms, such as whether there are symptoms of urinary tract infection such as frequent urination, urgency, and pain when urinating; whether there are symptoms of tuberculosis such as coughing up sputum, coughing up blood, low fever in the afternoon, and sweating; whether there is a tendency to bleed easily; whether there are symptoms of urinary tract obstruction such as difficulty urinating; whether there is ejaculation pain and abnormal sexual function; whether there is pain in the lower abdomen, perineum and other parts of the body, etc.

2 Causes

Common causes of bleeding during ejaculation include:

1. Tumors, such as cancer of the seminal vesicle and spermatocyst, papilloma of the seminal vesicle, and benign prostatic hypertrophy.

2. Diseases of the seminal vesicle and prostate, such as tuberculosis, schistosomiasis, stones, injuries of the prostate and seminal vesicle.

3. Blood diseases, such as purpura, scurvy, leukemia, etc.

4. Others, such as varicose veins of the seminal vesicle, long-term repeated compression of the perineum, liver cirrhosis with increased portal vein pressure leading to increased pressure of the hemorrhoidal veins through the collateral prostatic plexus, dilation and rupture of the posterior urethral subepithelial vein beside the seminal collateral vein, etc.

3 Symptoms

Most cases of hematospermia are benign and self-limited. The etiology is mainly seen in seminal vesicle lesions, such as seminal vesicle tuberculosis, seminal vesicle tumor, etc., especially seminal vesiculitis, which is the most common. Although generally speaking, hematospermia has no special relationship with some major diseases, sometimes hematospermia may be a manifestation of certain systemic diseases or serious organic diseases. Some experts have proposed that hematospermia can be caused by the collateral circulation of hemorrhoids, venous plexus, prostate and glandular plexus in cirrhosis of the liver; there are also reports that hematospermia is caused by schistosomiasis, and live schistosome larvae have been found in semen; it has also been found that hematospermia is related to hypertension, seminal vesicle cancer, renal tuberculosis and early cancer.

The discharge of red semen during ejaculation and spermatorrhea is called hematospermia in traditional Chinese medicine. Normal semen is milky white, grayish white or light yellow, while hematospermia is pink, brownish red or has blood streaks. When observed under an optical microscope, red blood cells can be seen mixed in the semen.

Due to the different bleeding sites and blood volume, the appearance of hematospermia is also different: the blood from the urethral mucosa that is congested during erection is bright red and does not mix with the semen, like mixed blood threads. Hematospermia caused by various inflammations and trauma is evenly mixed, red to brown, this is because the blood has been stored for a long time and the color has changed. Since the semen accumulated in the seminal vesicle cannot be emptied in one ejaculation, even if it is treated promptly and fully, it will take some time for hematospermia to disappear.

4 Prevention

Main preventive measures:

1. Taboos: After the blood in the semen disappears, you should still rest for 1-2 weeks. After recovery, sexual intercourse should not be too frequent or too intense.

2. Avoid drinking alcohol and eating spicy food to avoid aggravating congestion; do not ride a bicycle or horse for long distances;

3. Massaging the seminal vesicle once a week helps discharge inflammatory secretions;

4. Take a hot water bath once a day for 15-20 minutes each time, the water temperature is 41-42°C (a course of treatment is 30 days, and then rest for 10 days before the next course of treatment);

5. Antibiotics such as penicillin, gentamicin, and kanamycin (intramuscular injection, local ion introduction, etc.);

6. Hemostatic drugs such as vitamin K are also necessary for symptomatic treatment.

7. Wash the vulva frequently, pay attention to sexual hygiene, keep the reproductive and urinary tract clean, and seek treatment for prostatitis, urethritis and other diseases as soon as possible to eliminate the source of infection.

8. You should maintain a stable and happy mood, eat a bland diet and avoid spicy food. If you have a habit of smoking and drinking, you must give it up. Reduce the number of sexual intercourses and avoid excessive masturbation.

9. Once you are sick, you should actively seek treatment. During treatment, you should reduce sexual stimulation and avoid sexual life. At the same time, you can participate in moderate sports such as jogging and walking.

Well, the following is our basic introduction to the overview of heavy bleeding during ejaculation. Therefore, when hematospermia occurs, especially when it does not heal after regular antibacterial treatment, some special examinations should be carried out to rule out other possible organic diseases. Only by finding the real cause of hematospermia and treating it symptomatically can a satisfactory therapeutic effect be achieved.