What is the reason for a large amount of bleeding from the urethral opening during sexual activity?

Patient's question:

Detailed medical condition and consultation purpose: Excessive bleeding from the urethral opening during sexual activity, with no obvious sensation.
Duration and onset of the current illness:
Current general condition: No obvious symptoms, slight tenderness in the testicles.
Medical history: Never had this before; first time having sexual activity.
Previous diagnoses and treatment history and outcomes: None
Additional tests: None
Other: None

Doctor's answer:

Suggest checking for the possibility of orchitis and epididymitis, as well as for spermatic cord inflammation, seminal vesiculitis, which are highly related to excessive sexual activity and masturbation. Pay attention to reducing sexual activity and quitting masturbation, avoiding spicy foods, and abstaining from alcohol. Additionally, be mindful of conditions such as prostatic cysts, stones, tuberculosis, or filariasis, as well as dilated veins or hemangiomas on the posterior urethra or an enlarged prostate, and conditions like nodule biopsies. It is also important to consider the possibility of tumors in the reproductive system. It is recommended to identify the cause and seek treatment as early as possible.

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