Wondering what causes semen to have blood?

Patient's question:

The semen released has blood in it,,, It's the first time this has happened in so many years. Experts, what's going on,,, Could it be related to alcohol abuse?

Doctor's answer:

The principles for treating hematospermia are generally the same (with special treatment required for conditions like tumors or tuberculosis). During acute bleeding, sexual activity should be avoided. Even after hematospermia disappears, rest for 1-2 weeks is still recommended. After recovery, sexual intercourse should not be too frequent or intense. Alcohol and spicy, irritating foods should be avoided to prevent exacerbating congestion. Long-distance cycling or horseback riding should be avoided.
Massaging the seminal vesicle and prostate once a week can help expel inflammatory secretions. Sitz baths with hot water (41-42°C) should be taken once daily for 15-20 minutes. A 30-day course followed by a 10-day rest period before the next course is recommended. Antibiotics such as penicillin, gentamicin, and kanamycin (administered via muscle injection, local ion, etc.) are also necessary. Symptomatic treatments like vitamin K and Anluoxue are equally important.
Physical therapy and traditional Chinese medicine treatments can also be used. If posterior urethritis is present, posterior urethral medication instillation therapy may be performed.

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