Blood in Semen (Hematospermia)
Medikoe Health Expert
Koramangala, bengaluru, karnataka, india, Bengaluru Feb 13, 2017
Does your ejaculation have blood in it? Is this normal? What causes it? Let’s learn more about it. This phenomenon is known as Hematospermia. It is common for men under the age of 40 where it shows no symptoms or risk factors for underlying medical conditions. But for men over 40, it needs immediate attention and treatment.
What is Semen?
Semen is a yellowish substance produced by the male reproductive organs. It is a combination of secretions from the different regions of the male reproductive tract like the Testes and epididymis, Prostate, Seminal vesicles, and the Bulbourethral gland. It comprises of the spermatozoa, fructose (energy source), and enzymes like the citric acid, acid phosphatase, and lipids.
Is finding blood in the Semen normal?
Well, no! Blood in semen is not a normal phenomenon. If you experience a brownish or red colour in the semen, please consult with your healthcare specialist at the earliest.
What are the symptoms of Hematospermia?
The common symptoms of Hematospermia to watch out for are:
- Blood in urine
- Mild/Excruciating pain while urinating
- Tenderness in the testes and/or scrotum
- Pain with ejaculation
- Lower front/back pain
- Swelling of the testes and/or scrotum
- Swelling in the groin area
What causes Hematospermia?
1. Medical procedure
After a medical procedure (e.g., prostate biopsy), blood in semen is quite common. Mild trauma caused by small or big procedures like radiation therapy, vasectomy, and injections for haemorrhoids can also lead to irregular bleeding.
2. Infection and inflammation
Blood due to infection (STI, sexually transmitted infection) or inflammation is the most common cause of blood in the semen. Infections can occur in the:
- Urethra Epididymis
- Vas deferens
- Seminal vesicles
3. Tumors and Polyps
Tumors in the prostate can also cause blood in semen. Benign growths like polyps in the reproductive tract are also another culprit.
4. Blood vessels
Any problems (like obstructions or damage) in the blood vessels in and around your privates can result in blood in your semen.
Leukemia or blood cancer also causes Hematospermia. Leukemia is identified by the increased number of white blood cells in the body.
6. High blood pressure
Blood pressure is the force with which the heart pumps blood, i.e., the pressure exerted on the blood vessels by the heart during circulation.
Two numbers define blood pressure called the diastolic and systolic. The top number is the systolic-the highest pressure when the heart pumps blood, and the bottom number is your diastolic-the lowest pressure during the relaxation period between heartbeats.
Human Immunodeficiency Virus (HIV) is a virus that affects the immune system of the body and interferes with the ability of the body to fight infections. The immune system is the body’s defense mechanism against foreign bodies like bacteria and virus which cause infections. HIV kills CD4 cells, which are a type of immune cells called T cells. As more and more of these cells are destroyed, the body is at a higher risk of contracting infections or other diseases like Hematospermia.
Sexually transmitted diseases like the Gonorrhea, Trichomoniasis, and others can cause Hematospermia.
9. Prostate cancer
Cancer development in the prostate gland is also one of the causes of Hematospermia. Therefore, keep your eyes open for such cases.
Rest 15% of the cases of Hematospermia can't be traced to a known cause. Therefore, if you notice any of the above-given symptoms, we suggest you consult with a healthcare specialist at the earliest.
What are the treatment options for Hematospermia?
- Consulting the doctor before self-medication is the first step to treatment. The doctor will point out the possible cause and treat the condition that causes it.
- If the condition is due to infection, then antibiotics are the best form of medication.
- The swelling/inflammation can be uneasy; therefore, an anti-inflammatory drug can be prescribed for it.
- If the cause is some medical procedure then, give it some time. It usually disappears by itself in a matter of weeks.
Talk to your doctor for more information. You can even find one here on Medikoe. Find an experienced and certified healthcare specialist near you on Medikoe answer all your questions.