Blood in Semen (Hematospermia) Causes, Treatment & Prognosis

Issues to find out about blood in semen

Hematospermia is one other title for blood in semen.

  • Blood within the semen is called hematospermia.
  • Prostate biopsy is the most typical explanation for blood within the semen.
  • Blood within the semen will be attributable to tumors, infections, anatomical abnormalities, stones, or irritation in lots of websites all through the genitourinary system.
  • Often, blood within the semen is benign and resolves by itself.
  • Therapy, if indicated, relies upon upon the underlying trigger.
  • Usually, hematospermia has no underlying trigger, is benign, self-limited, and no therapy is required.

What’s blood within the semen?

The presence of blood within the semen (ejaculate) can also be referred to as hematospermia. Hematospermia just isn’t all the time seen; due to this fact, it’s tough to make estimates of its incidence.

Causes of Blood in Semen

Blood in semen (ejaculate) can also be referred to as hematospermia. Blood in semen will be attributable to many situations affecting the tubes that distribute semen from the testicles (seminal vesicles) or the prostate gland.

What are the causes of blood within the semen?

Blood in semen will be attributable to many situations affecting the male genitourinary system. Areas affected might embrace the bladder, urethra, the testicles, the tubes that distribute semen from the testicles (referred to as the seminal vesicles), the epididymis (a section of the spermatic ducts that serves to retailer, mature, and transport sperm), and the prostate gland.

Blood within the semen is mostly a results of a prostate gland biopsy. A majority of males who bear a prostate biopsy might have some blood of their semen that persists for 3 to 4 weeks. Likewise, vasectomy can result in bloody semen for about one week after the process.

In males with hematospermia who haven’t had a current prostate biopsy or vasectomy, a number of benign and malignant situations of the male genital system would be the trigger. In lots of conditions, no definitive trigger is discovered.

The next situations have been reported in affiliation with hematospermia:

  • Benign or malignant tumors of the prostate, bladder, testes, or seminal vesicles
  • Infections embrace, however are usually not restricted to, chlamydia, herpes, cytomegalovirus, and trichomoniasis
  • Irritation of the prostate (prostatitis), epididymis (epididymitis), or urethra (urethritis)
  • Calculi (stones much like kidney stones) within the seminal vesicles or prostate
  • Polyps within the urethra
  • Ejaculation duct obstructions
  • Metastatic cancers (which have unfold from different websites within the physique) situated within the genitourinary system
  • Cysts, hemorrhage, or different abnormalities within the seminal vesicles


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What are the signs of blood within the semen?

The signs that may often accompany blood within the semen could also be any of the next, relying upon the trigger (these are usually not all-inclusive):

How is blood within the semen evaluated?

A number of diagnostic checks could also be carried out after the medical historical past is evaluated and a bodily examination is carried out. Among the mostly carried out diagnostic checks are a urinalysis and cultures to determine any sexually transmitted or different infections. When indicated, imaging research corresponding to ultrasound or MRI might reveal tumors or different abnormalities. In some conditions, a semen evaluation, during which the semen is analyzed below a microscope, could also be really useful.

What’s the therapy for blood within the semen?

Therapy of blood within the semen is directed towards the underlying trigger if a trigger has been discovered. Typically, therapy with antibiotics for a presumptive prognosis of prostatitis (irritation of the prostate gland) is given, since some research have proven that as much as about one-fourth of males with hematospermia have prostatitis. Nevertheless, the advantage of such therapy has not been definitively established.

Usually, if the blood within the semen just isn’t related to any identified abnormality or different troubling signs, no therapy is given, and the situation normally resolves by itself with time in these conditions. Persistent hematospermia (for a month or extra) even within the absence of different signs warrants additional or follow-up analysis.

What’s the prognosis (outlook) for sufferers with blood within the semen?

The prognosis pertains to the underlying explanation for blood within the semen if a trigger will be recognized. Nevertheless, most circumstances of hematospermia are benign and resolve with out therapy. Whereas most cancers is a uncommon explanation for blood within the semen, the vast majority of circumstances are usually not associated to most cancers, particularly in youthful males.


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Medically Reviewed on 8/12/2022


Tapper, Alexander D. “Hematospermia.” Medscape. Feb. 14, 2018. <>.

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