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Blood in Semen (Hematospermia): Causes, Diagnosis, and Treatment

Team AckoJan 18, 2024

Blood in Semen, also known as Hematospermia, is a condition that can be concerning for individuals who experience it. In this article, we will delve into the causes, symptoms, and potential treatments for the condition.




What does Blood in Semen mean?

Blood in Semen is a condition where blood is present in the semen. It can be alarming for individuals who experience it. Hematospermia is not typically a cause for concern, as it often resolves on its own without any treatment. However, it's important to consult a healthcare professional to understand the underlying cause and if Blood in Semen persists or is accompanied by other symptoms such as pain or fever.

Causes of Blood in Semen

Here’s a list of causes of Blood in Semen.

1. Infections

Infections can be a common cause. Sexually transmitted infections (STIs) such as gonorrhoea, chlamydia, and herpes can lead to inflammation in the genitourinary tract and result in the condition. 

2. Urinary tract infections (UTIs)

UTIs occur when bacteria enter the urinary tract and cause infection. While UTIs can cause discomfort and pain during urination, they can also cause this condition. The presence of Blood in Semen with a UTI may indicate that the infection has spread to the prostate gland or the seminal vesicles.

3. Prostatitis

When the prostate gland becomes inflamed, it can lead to Blood in Semen. This condition may also cause pain or discomfort in the pelvic area and during ejaculation.

4. Trauma or surgery to the genital area

Any injury or surgical procedure that affects the reproductive organs can potentially cause this condition. This can include procedures such as a prostate biopsy or surgery to treat conditions like testicular cancer or benign prostatic hyperplasia (BPH). 

5. Benign prostatic hyperplasia (BPH)

BPH can result in urinary symptoms such as frequent urination, weak urine flow, and difficulty emptying the bladder. In addition to these symptoms, BPH can also cause Blood in Semen. This occurs when the enlarged prostate gland puts pressure on the blood vessels in the reproductive system, leading to bleeding during ejaculation.

6. Prostate cancer

It is the most common cancer in men and typically develops in the prostate gland. In addition to Blood in Semen, symptoms of prostate cancer may include frequent urination, difficulty initiating or stopping urine flow, weak urine flow, and pain in the pelvic area. If blood is present in the semen, it may indicate that the cancer has spread beyond the prostate gland.

7. Testicular cancer

Testicular cancer usually affects younger men and can present with symptoms such as a lump or swelling in the testicles, pain or discomfort in the scrotum, and back pain. In some cases, blood may be present in semen due to the presence of a tumour in the testicles.

8. Blood disorders

Blood disorders, such as haemophilia or leukaemia, can also be a potential cause of Blood in Semen. These disorders can affect the blood's ability to clot properly, leading to bleeding in various parts of the body, including the reproductive system. 

Diagnosis of Blood in Semen

Below are some of the diagnostic procedures for Blood in Semen.

1. Physical examination and medical history

When diagnosing Blood in Semen, a thorough physical examination and detailed medical history are crucial. This may involve inspecting the penis, scrotum, and prostate gland. 

2. Semen analysis

This is an important diagnostic tool in the evaluation of male fertility and can provide valuable information about the reproductive health of an individual. During a semen analysis, a sample of semen is collected and examined under a microscope. The analysis includes evaluating various parameters such as sperm count, motility (movement), morphology (shape and structure), and the presence of any abnormalities or infections. The results of a semen analysis can help identify potential causes of infertility or reproductive disorders and guide appropriate treatment options.

3. Blood tests

Blood tests can help identify hormonal imbalances, infections, or disorders that may be contributing to the presence of blood.

4. Imaging tests (ultrasound, MRI, CT scan)

Imaging tests can provide detailed images of the reproductive organs, including the prostate gland, seminal vesicles, and ejaculatory ducts, and help identify any abnormalities or tumours that may be causing the bleeding.

5. Biopsy

In some cases, a biopsy may be necessary to further evaluate the underlying cause of Blood in Semen. 

Treatment for Blood in Semen

One of the main steps in treating Blood in Semen is identifying and addressing the underlying causes. This may involve different approaches based on the specific cause.

  • For instance, if an infection is causing the symptom, antibiotics may be prescribed to treat the infection.

  • In case of inflammation, anti-inflammatory medication may be recommended to reduce inflammation.

  • In cases where there are abnormalities or tumours in the reproductive system, surgical intervention may be necessary to treat or remove them.

How to prevent Blood in Semen

There are several steps you can take to prevent Blood in Semen, which are as follows.

  • Eat a balanced diet, exercise regularly, and get enough sleep.

  • Use condoms. 

  • Drink plenty of water. 

  • Engaging in rough or aggressive sexual activity can increase the risk of Blood in Semen.

  • Chronic stress can negatively impact your reproductive system. Consider mindfulness or engaging in hobbies you enjoy.

  • Alcohol can affect the blood vessels and increase the likelihood of Blood in Semen.

  • Smoking can impair blood circulation, which may contribute to Blood in Semen.

  • Practising proper hygiene, including washing the genital area regularly, can help prevent infections and reduce the risk of Blood in Semen.

  • Exposing the testicles to high temperatures, such as hot tubs or saunas, can affect sperm production and potentially lead to Blood in Semen.

Frequently Asked Questions (FAQs)

Following are some commonly asked questions along with their answers related to Blood in Semen.


Does blood convert into sperm?

No, blood does not convert into sperm. While blood does play a role in delivering oxygen and nutrients to the testes, it does not directly convert into sperm.

At what age hematospermia occurs?

Hematospermia can occur at any age, but it is more commonly seen in men who are between the ages of 30 and 40. However, it can also occur in younger or older individuals.

Is Hematospermia common?

Haematospermia is not considered to be common, but it can occur in men of all ages.

Can Hematospermia cause infertility?

Hematospermia is generally not a cause of infertility. It is usually a benign and self-limiting condition that does not affect fertility.

What antibiotic is good for blood in sperm?

There is no specific antibiotic that is used to treat blood in sperm, as blood in sperm is usually caused by underlying medical conditions, such as infections or inflammation.

Who treats Hematospermia?

Hematospermia is typically treated by a urologist, who specialises in the male reproductive system and urinary tract disorders.

What is the duration of Hematospermia?

The duration of Hematospermia can vary depending on the underlying cause. In many cases, it is a self-limiting condition that resolves on its own within a few days or weeks.


Disclaimer: The content on this page is generic and shared only for informational and explanatory purposes. Please consult a doctor before making any health-related decisions.


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