Patient's question:
Regarding the issue of hematospermia, I did a prostate massage today and then tested my urine, which showed 1393 red blood cells and 85 white blood cells. There was also occult blood and protein. Strange, because when I don't have a prostate massage and test my urine, everything is normal, all at 0. After the massage, there was a significant change again, proving that there is inflammation and blood flow in the prostatitis? 20 days ago, the semen was red, and 10 days later, it was dark red. Is it possible that there is also blood clots inside? Today, I had a color Doppler ultrasound of the seminal vesicles, which was normal, though it was slightly smaller than the last time! My doctor prescribed Hot granules, Proscar (to constrict the prostate to prevent tearing), and Moxifloxacin hydrochloride. 20 days ago, I also had a color Doppler ultrasound of the prostatitis, which showed that the prostatic capsule was intact, with a volume of 334732mm, and the prostate was enlarged with calcification spots measuring 138mm. I want to ask, is this hematospermia really from the seminal vesicles?Doctor's answer:
There are many causes of hematospermia. Common issues include prostatitis, seminal vesiculitis, and urethritis. Even if a color Doppler ultrasound examination is normal, it cannot prove the absence of prostatitis, seminal vesiculitis, urethritis, etc. The color Doppler ultrasound results clearly indicate seminal vesiculitis. Additionally, there is no need to check PSA. Furthermore, during the treatment of prostatitis, the patient's dietary condition and care are also very important. The patient must pay close attention to their diet and eat more light foods to avoid unnecessary harm.