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- Patient Comments: Blood In Semen - Cause
- Patient Comments: Blood In Semen - Symptoms
- Patient Comments: Blood In Semen - Treatment
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What are the symptoms of blood in the semen?
The symptoms that can occasionally accompany blood in the semen may be any of the following, depending upon the cause (these are not all inclusive):
- Painful urination
- Pain with ejaculation
- Blood in urine
- Lower back pain
- Tenderness in the testes and/or scrotum
- Swelling in the testes and/or scrotum
- Swelling or tenderness in the groin area
How is blood in the semen evaluated?
A number of diagnostic tests may be performed after the clinical history is evaluated and a physical examination is performed. Some of the most commonly performed diagnostic tests are a urinalysis and cultures to identify any sexually transmitted or other infections. When indicated, imaging studies such as ultrasound or MRI may reveal tumors or other abnormalities. In some situations, a semen analysis, in which the semen is analyzed under a microscope, may be recommended.
How is blood in the semen treated?
Treatment of blood in the semen is directed toward the underlying cause if a cause has been found. Sometimes, treatment with antibiotics for a presumptive diagnosis of prostatitis (inflammation of the prostate gland) is given, since some studies have shown that up to about one-fourth of men with hematospermia have prostatitis. However, the benefit of such treatment has not been definitively established.
In most cases, if blood in the semen is not associated with any known abnormality of other troubling symptoms, no treatment is given, and the condition usually resolves on its own with time in these situations. Persistent hematospermia (for a month or more) even in the absence of other symptoms warrants further or follow-up evaluation.