Patient's question:
Hello everyone, doctors,I have already mentioned the situation above. Currently, I don’t have any other discomfort symptoms, except for a bit of worry in my heart. I’m asking what this might be due to. I plan to go to the hospital to check it out and get a sense of the issue.
Additional information:
I took the medication after experiencing diarrhea. The next day in the afternoon, I had sexual activity and noticed blood in my semen.
Doctor's answer:
The most common cause of hematospermia is seminal vesiculitis. The seminal vesicles serve two functions: storing sperm and secreting seminal fluid. They are rich in a dense layer of small blood vessels, containing numerous capillaries that are easily damaged and bleed. Additionally, since the seminal vesicles are located above the prostate and between the bladder and rectum, their terminal end merges with the vas deferens to form ejaculation and lead into the urethra. Due to their close proximity to organs such as the prostate, urinary tract, and rectum, if inflammation occurs in these areas, bacteria can easily spread to the seminal vesicles, causing inflammation, swelling, congestion, and bleeding, which in turn leads to hematospermia. Most cases are accompanied by pain in the perineum, rectum, and lower abdomen, as well as dysuria.It is recommended that you pay attention to hygiene, avoid masturbation, avoid spicy and irritating foods, quit smoking and alcohol, and refrain from sexual activity for 5-7 days before visiting the hospital for tests such as semen analysis and bacterial culture of secretions. After identifying the specific cause, actively cooperate with the doctor's treatment. Wishing you good health!