Hematospermia (Blood in the semen) Should You Be Worried?


Hematospermia, or the presence of blood in semen, is a condition that can understandably cause alarm to those who experience it. However, it’s important to know that while it may be startling, it’s often benign and resolves on its own. This article aims to provide a comprehensive understanding of hematospermia, its causes, diagnosis, and treatment options.

Understanding Hematospermia

Hematospermia is a medical term that refers to the presence of blood in semen. It’s a condition that can affect men of any age but is more common in men aged 30 to 40 and those over 50. While it can be alarming to see, it’s often harmless and usually resolves without treatment. However, persistent hematospermia, especially in men over 40, may require further medical evaluation as it could be a sign of an underlying medical condition.

Causes of Hematospermia

Blood in Semen
Source: news-medical.net

There are numerous potential causes of hematospermia, ranging from infections to systemic diseases. Here are some of the most common:

  1. Infections: Sexually transmitted diseases (STDs) such as chlamydia, HIV, herpes, or tuberculosis can cause hematospermia. Other infections of the urinary tract or prostate can also lead to blood in the semen.
  2. Prostate Problems: Conditions related to the prostate, such as prostate cancer, prostate infections, or prostate stones, can result in hematospermia.
  3. Seminal Vesicle Cysts: These are fluid-filled sacs in the seminal vesicles, which produce a significant portion of the semen. These cysts can sometimes bleed, leading to hematospermia.
  4. Varicoceles: These are enlarged veins in the scrotum, similar to varicose veins. They can cause blood in the semen.
  5. Trauma: Any injury to the testicles or other parts of the male reproductive system can cause blood in the semen.
  6. Systemic Diseases: Conditions like high blood pressure, bleeding disorders, liver disease, and lymphoma can cause hematospermia.

What to Do If You Have Hematospermia

If you notice blood in your semen, it’s important not to panic. While it’s a good idea to consult with a healthcare professional, keep in mind that most cases of hematospermia are benign. Your doctor will be able to provide more specific advice based on your individual circumstances.

Diagnosis of Hematospermia

Source: medicalnewstoday.com

When you consult a doctor about hematospermia, they will typically start by taking a detailed medical history. This will include questions about any recent trauma, surgery, family history of diseases, medications, and other symptoms you may be experiencing.

Next, your doctor will perform a physical examination. This may include checking your blood pressure, looking for swollen lymph nodes, examining your scrotum, and possibly conducting a digital rectal examination to assess your prostate.

Depending on the findings from your history and physical examination, your doctor may order additional tests. These could include urine tests and urethral swabs to check for STDs, blood tests to look for bleeding disorders or infections, and imaging tests like an ultrasound, CT scan, or MRI to visualize the structures of your reproductive system.

Treatment for Hematospermia

The treatment for hematospermia largely depends on its underlying cause. If no cause is found, which is the case for about 50% of patients, the condition often resolves on its own. It may take up to 10 ejaculations for the blood to completely clear from the semen.

If hematospermia persists after 10 ejaculations, it’s recommended to consult your doctor again as further tests may be needed. If a specific cause is identified, treatment will be directed at that condition. This could involve antibiotics for infections, medication or surgery for prostate problems, or other treatments as appropriate.


While hematospermia can be a cause for concern, it’s important to remember that it’s often harmless and resolves on its own. However, persistent or recurrent hematospermia should not be ignored, especially in older men, as it could be a sign of an underlying medical condition. Always consult with a healthcare professional if you have any concerns about your health.

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