Patient's question:
Recently, hematospermia appeared again during sexual intercourse. A few months later, there was still a faint blood in the semen, which scared me. Later, I realized it was caused by seminal vesiculitis leading to hematospermia. I really don't understand how this happened, and I want to ask what causes hematospermia due to seminal vesiculitis. Please help: What is the reason behind hematospermia caused by seminal vesiculitis?Doctor's answer:
After intercourse, if a man experiences blood in his ejaculation, it is highly likely to be a case of seminal vesiculitis. Seminal vesiculitis primarily manifests as recurring hematospermia, accompanied by symptoms such as frequent urination, urinary urgency, and dysuria. Pain during ejaculation is common, especially in chronic cases, which often include low libido, nocturnal emissions, and premature ejaculation. There is significant lower abdominal pain, which may also radiate to the perineum and both inguinal regions. Chronic patients often experience dull pain in the suprapubic area, accompanied by discomfort in the perineum, particularly relieved during ejaculation.