Patient's question:
Detailed medical condition and consultation purpose: Yesterday, I used a condom during sexual activity. Afterward, I found that the semen inside the condom was slightly bloody, but my body and sexual organs did not feel any discomfort, and the condom was not broken. Could you please tell me what this could indicate?Doctor's answer:
Hello:Common causes of hematospermia include:
(1) Inflammation of the genital tract: such as prostatitis, seminal vesiculitis, urethritis, epididymitis, orchitis, spermatic cord prostatic calculi, ureteral-bladder calculi. Sexually transmitted diseases like gonorrhea and tuberculosis, and schistosomiasis. Inflammatory reactions cause irritation, congestion, and edema of the spermatic cord mucosa, leading to hematospermia. Damage can result from prolonged abstinence from ejaculation, causing the spermatic cord to dilate and bleed during ejaculation.
(2) Duct obstruction and cysts: due to spermatic cord dilation, seminal vesicular cysts, spermatic diverticula, urethral stricture, prostatic cysts, seminal vesicular cysts, and Wollfian duct cysts.
(3) Tumors and vascular abnormalities: Benign tumors include granulomas, papillary adenomas, adenomatous polyps, inflammation, benign prostatic hyperplasia, prostatic tumors, and spermatic leiomyomas. Malignant tumors include spermatic cord cancer, testicular cancer, prostatic cancer, and prostatic-spermatic cord sarcoma. Vascular abnormalities include: abnormal veins of the prostatic urethra, urethral hemangiomas, spermatic vesical venous fistula, and arteriovenous malformations. The urethra may contain prostatic tissue, prostatic polyps, or proliferative urethritis. Testicular tumors may also cause hematospermia, and rupture of vascular tumors or variant blood vessels can lead to it. Bleeding may result from rupture of varicose veins in the prostatic urethra and bladder neck.
(4) Systemic factors: Hypertension, hemophilia, purpura, leukemia, lymphoma, cirrhosis, pernicious anemia, and liver-related coagulation abnormalities.
(5) Iatrogenic lesions: Prostate biopsy, prostatic injection, vasectomy, post-orchiectomy, including genital tract injury, pelvic fractures, of hemorrhoids, high-frequency ultrasound, cryotherapy for the prostate, and distance radiotherapy.
Based on your condition, please pay attention.