Is semen with blood dangerous?

This is an automatically translated article.

Normal semen is ivory white. If the semen turns pink or red, blood is suspected. This condition is sometimes harmless and goes away on its own without any treatment. However, this can also be a predictor of many other underlying diseases.

1. Blood in semen

Semen is a product of the male reproductive system. Semen is produced from multiple organs, including the testes, epididymis, vas deferens, seminal vesicles, and prostate gland.
The presence of blood during ejaculation is called bloody semen (“haematospermia”). It is usually a painless, benign, solitary, and self-limiting symptom.
Blood in semen is not uncommon, and can affect any male of any age after puberty. However, the most common age group affected are men between the ages of 30 and 40. According to epidemiological statistics, up to 9 out of 10 men have ever encountered bloody semen without any previous symptoms or abnormal urinary or genitourinary condition.

2. Symptoms of bloody ejaculation

Blood in the ejaculate is usually painless, and the patient can only see blood in the semen. Blood causes semen to change color from dark brown to bright red. In addition, the patient may have no other symptoms.
However, in cases of secondary bloody ejaculation, the patient may have additional symptoms such as pain during ejaculation or a dull pain in the area from the testicle to the perineum. These are considered signs of prostate diseases such as prostatitis. At this time, if the patient has the following factors, they need to be especially wary of the presence of blood in the semen:
Age over 40 years old; Persistent or repeated symptoms; Abnormalities are detected on examination of the urogenital system; There are comorbidities in other organs.

3. Causes of bloody ejaculation

Causes of bloody semen are divided into two main groups:
3.1. Primary hematuria In this case, the presence of blood in the semen is the only symptom.
In addition, the possibility of blood in the urine should also be excluded, either at the macroscopic or microscopic level. At the same time, the patient was also examined and there was absolutely no evidence of any abnormalities in the structure or function of the urinary system in general. Fortunately, the condition is self-limiting and leaves no sequelae.
In fact, primary hematuria has been studied extensively and most have shown no other associated problems.
3.2. In this case, the cause of bleeding in the semen is known or suspected to have a pre-existing origin, such as shortly after a prostate biopsy, a urinary tract infection, or cancer.
These causes and risk factors can be:
Prostatitis ; Epididymitis ; Infection of the seminal vesicles; Urinary tract infections; Parasitic infections; Prostate lymph nodes; Prostate cancer ; Urinary stones; Injury to the testicles, scrotum, or pelvis; Immediately after a prostate biopsy; Pulmonary tuberculosis ; Cirrhosis; Blood clotting disorders, such as hemolytic disease; In the late stages of malignant hypertension.

4. Tests to do when you have blood in your ejaculate

Anytime you discover blood in your semen, you should see your doctor for a local as well as general examination. The doctor will examine the external genitalia as well as the prostate gland to rule out the possibility of underlying medical conditions.
Besides, the doctor may order other tests, including:
Urinalysis to check for infection; PSA test to screen for prostate cancer; Microbiological tests for the diagnosis of sexually transmitted diseases; Ultrasound examination of the inguinal scrotum and urinary tract; In addition, you may have more specialized laboratory tests to find the cause of the disease, such as cystoscopy, computed tomography, or magnetic resonance imaging.

5. How to treat ejaculate with blood?

In general, hematuria sometimes does not require any treatment because the condition usually resolves on its own.
In patients over 40 years of age, with persistent hematuria, especially with other symptoms, should be seen by a urologist. Then, the treatment problem will depend on the cause of the disease. For example, the patient may be prescribed antibiotics to treat an infection, and anti-inflammatory drugs if there is swelling.
If the blood in the semen is from recent urinary tract procedures, like a prostate biopsy, the condition will usually go away on its own within a few weeks.
In case of suspicion of the possibility of serious diseases, such as blood clotting disorders or cancer, you need to be examined by the respective specialist, have a biopsy, do pathology, and plan for long-term follow-up and treatment. long.
Blood in the ejaculate may seem scary but most of the time it goes away on its own. However, do not be subjective. Instead, men need to actively examine, actively monitor and adhere to treatment to rule out potential diseases.
Men experiencing bleeding in ejaculation can go to Vinmec International General Hospital for examination, diagnosis and treatment. The team of orthopedic doctors at Vinmec are all well-trained and experienced in examining, treating as well as early detection of health problems related to the male genital organs, reproductive diseases. management, reproductive function and sexually transmitted diseases. A civilized, modern hospital space that fully respects the privacy of customers will bring the most comfortable feeling for gentlemen when visiting and receiving treatment at Vinmec.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

Reference source: patient.info; nhs.uk