Hematospermia Treatment in Delhi, India

Apart from identifying a primary cause of blood in the semen, the doctor will look out for any associated symptoms, including:

• Blood in the urine is called haematuria
• Hot, burning sensation during urination or any other symptoms of painful urination
• Difficulty while emptying the bladder completely
• A painful bladder that feels bloated
• Painful ejaculation
• Swollen or painful regions on the sex organs or obvious wounds from an injury
• Penis discharge or other prominent signs of an STD
• Fever, racing pulse, and higher-than-normal blood pressure

The most probable cause of blood in semen are:

• Trauma due to a prostate biopsy. The episode of bleeding persists for up to four weeks after the procedure.
• Trauma from a vasectomy. Bleeding prevails for about a week.
• Treatment of prostate cancer is done with the help of external beam radiation or brachytherapy.
• A seminal tract infection or inflammation.

The outburst of blood from a small blood vessel ruptures while ejaculation, just like in a very similar way a person gets a nosebleed after forcefully blowing their nose.

Other potential causes may include Sexually Transmitted Infections (STI): Including chlamydia, gonorrhoea, or other bacterial or viral infection.

• Prostate conditions: Including acute bacterial prostatitis, benign prostatic hyperplasia, cysts and polyps.
• Testicular and epididymis conditions: Including orchitis, epididymitis.
• Seminal vesicle disorders: Including stones and cysts.
• Blood disorders: Including sickle cell disease or clotting disorders
• Chronic infections: Including schistosomiasis or tuberculosis.
• Cancers: Including bladder cancer, testicular/epididymal cancer, prostate cancer, seminal vessel cancer, and urethral tumour.

The doctor begins the diagnosis by assessing the patient thoroughly and taking a medical history, including the history of any recent episode of sexual intercourse. This is accompanied by a physical examination that includes checking of genitals for any kind of swelling or lumps. Apart from this, a digital rectal examination is also carried out to look for swelling, tenderness or any other symptoms.

Various other tests used in the diagnosis of this condition are as follows:

• Urine culture or urinalysis to identify infection or any other associated abnormalities.
• STD testing in case a sexually transmitted disease is suspected.
• PSA testing is carried out to test for prostate cancer by measuring prostate-specific antigen in the blood.
• Specialized tests include transrectal ultrasound to diagnose various prostate issues like cysts, calculi, varices and inflammatory changes.
• CT scan and MRI for detailed and in-depth assessment of the patient.

Treatment of this condition depends various factors which are as follows:

• Duration and extent of the presence of blood in semen
• Age
• Presence of other symptoms

Patients under 40 years of age having one or two episodes of bleeding in semen usually don't require any treatment, and the issue resolves on its own.

However, in the case of recurrent episodes, the treatment plan comprises the following:

• Antibiotics in case of an infection.
• Anti-inflammatory drugs.
• Finasteride (Proscar), a medication to shrink an enlarged prostate, can often stop hematospermia.
• Medicines to treat other medical conditions.

If this condition is caused by a blockage in the genitourinary tract, surgery may be required, and it includes the removal of a bladder stone that's obstructing the urinary tract or the removal of tumours. If cancer is responsible for this condition, the doctor will probably refer the patient to an oncologist who will determine the best treatment.

Reviewed by Dr. Anjani Kumar Agrawal, Associate Director & Unit Head – Andrology, Urology on 16-Dec-2022.

1. Are you at a risk of Prostate Cancer?
2. Frequently Asked Questions About Prostate Cancer

What is hematospermia?
Hematospermia is a medical condition characterized by the presence of blood in semen, often referred to as "blood in semen".

Is hematospermia a common condition?
Hematospermia is relatively rare, affecting a small percentage of men. It is more commonly seen in men under 40 years of age.

What are the common causes of hematospermia?
Hematospermia can result from various causes, including infections, trauma, inflammation, or underlying medical conditions such as prostate issues.

What are the most common infections associated with hematospermia?
Infections such as prostatitis, epididymitis, and sexually transmitted infections (STIs) like chlamydia or gonorrhoea can lead to hematospermia.

Can sexual activity cause hematospermia?
Rough or vigorous sexual activity, including masturbation, can sometimes lead to temporary hematospermia due to small blood vessel ruptures.

Is hematospermia always a sign of a serious medical condition?
Not necessarily. While it can be alarming, hematospermia is often benign and resolves on its own. However, it should be evaluated by a healthcare professional.

What diagnostic tests are used to evaluate hematospermia?
Diagnostic tests may include a physical exam, semen analysis, blood tests, imaging (ultrasound, MRI), and possibly a cystoscopy to examine the urethra and bladder.

Can cancer be a cause of hematospermia?
Yes, although rare, prostate cancer, testicular cancer, or bladder cancer can lead to hematospermia.

Is hematospermia a symptom of sexually transmitted infections (STIs)?
Yes, certain STIs like chlamydia, gonorrhoea, or herpes can cause hematospermia, along with other symptoms.

Can medications or blood thinners cause hematospermia?
Some medications, particularly blood thinners like aspirin or anticoagulants, may increase the risk of hematospermia, but it is not a common side effect.

Can hematospermia cause pain or discomfort?
In some cases, hematospermia may be associated with pain or discomfort in the pelvic area or during ejaculation.

How is hematospermia treated?
Treatment depends on the underlying cause. If an infection is the cause, antibiotics may be prescribed. For other causes, monitoring and addressing the underlying condition may be necessary.

Is hematospermia associated with infertility?
Hematospermia itself typically does not directly cause infertility. However, underlying conditions contributing to hematospermia may affect fertility.

Can lifestyle factors contribute to hematospermia?
Certain lifestyle factors, like excessive alcohol consumption, smoking, or strenuous physical activity, may increase the risk of hematospermia.

Can hematospermia recur after treatment?
Yes, hematospermia can recur if the underlying cause is not completely resolved. Follow-up care is important to monitor for recurrence.

Is hematospermia related to erectile dysfunction (ED)?
Hematospermia is generally not directly related to ED, but they may share common risk factors, such as age or underlying health conditions.

Can stress or anxiety cause hematospermia?
Stress or anxiety alone is unlikely to cause hematospermia, but it can exacerbate certain underlying conditions that may contribute to it.

Is hematospermia more common in older or younger men?
Hematospermia is more commonly seen in younger men, but it can affect men of all ages.

Can hematospermia be prevented?
Prevention depends on the underlying cause. Practicing safe sex, maintaining good genital hygiene, and seeking prompt treatment for infections may reduce the risk.

When should I see a doctor if I experience hematospermia?
If you notice blood in your semen, it's essential to consult a healthcare provider. While it may not always indicate a serious condition, it requires evaluation to determine the underlying cause and appropriate treatment.

Review

FAQs reviewed by Dr. Yashdeep Rustagi, Principal Consultant - Urology, Robotic Surgery.