Blood in the semen, called hematospermia, is blood that is either too small to be seen (microscopic) or visible in the ejaculation fluid.
Semen – bloody; Blood in ejaculation
Symptoms that may occur with this condition include:
Blood in urine
Lower back pain
Pain with bowel movement
Pain with ejaculation
Pain with urination
- Swelling in scrotum
- Swelling or tenderness in groin area
- Tenderness in the
Blood in the semen is usually caused by inflammation of the seminal vesicles. It may also be caused by:
It may be a sign of disease or a problem in the urethra, testicles, epididymis, or prostate.
Often, the cause cannot be found.
You can treat minor injuries by resting, applying ice, and monitoring your symptoms. For major injuries you may need surgery.
Infections can often be treated with antibiotics taken by mouth (or
Blockages of the urinary tract system are usually treated with surgery. If cancerous tumors are causing the blockage, you may need radiation or
Call your health care provider if
Always call your doctor if you notice any blood in your semen.
What to expect at your health care provider’s office
The health care provider will perform a physical examination, looking for signs of:
Discharge from the urethra
Enlarged or tender prostate
Swollen lymph nodes
Swollen or tender scrotum
To diagnose the cause of the problem, your health care provider will ask medical history questions, such as:
- How much blood was in the semen?
- Did you ever have microscopic blood in the past when your semen was examined for another reason?
- When did you first notice this problem? Is it present all the time?
- Is there anything that seems to have caused this symptom?
- What other symptoms do you have?
Tests that may be done include:
- Prostate exam
- PSA blood test
- Semen analysis
- Semen culture
- Ultrasound of pelvis and scrotum
Urinalysis Urine culture
If the blood does not clear, more tests should be done. These tests may include:
Semen analysisand culture
Urinalysis and culture
Ultrasound of the seminal vesicles, scrotum, and testes