Patient's question:
I am male, 32 years old, and usually work very hard. Recently, I have noticed symptoms of blood in my semen. When I went to the hospital for a check-up, it was confirmed that I have blood in my semen.Doctor's answer:
Due to bacterial invasion and inflammatory stimulation, the seminal vesicle becomes congested. During sexual intercourse, smooth muscle and blood vessel contraction lead to the mixing of a large number of red blood cells and pus cells in the semen. If the condition is not cured after long-term treatment, the presence of blood in the semen will affect semen quality and sperm function. At the same time, if the underlying disease is not treated effectively, it can lead to a decline in overall health, reduced sexual function, decreased fertility, and even male infertility.People rarely pay attention to the color of semen, and even if they notice it, they often mistakenly attribute it to bleeding from the female vagina. Hematospermia is a common symptom in male urological diseases. In the past, most cases were difficult to diagnose, and the condition was often considered "idiopathic hematospermia." In clinical practice, there are still a significant number of hematospermia cases with unknown causes. Even when a diagnosis is confirmed, treatment options are often limited and lack effective methods. Antimicrobial therapy, puncture aspiration, and other approaches are commonly used, but the results are often unsatisfactory and may cause certain degrees of damage, making it a challenging condition to treat.
Seminal vesiculography allows access to the seminal vesicles via the ejaculatory duct, enabling retrograde examination of the seminal vesicles and ejaculatory duct along the normal anatomical pathways. If lesions are detected, they can be treated simultaneously under the scope. For example, if a tumor is found, it can be removed; if stones are present, they can be extracted under the scope; and inflammatory changes can be treated by thermal coagulation of inflamed mucosa or irrigation of accumulated blood. This method is characterized by its ease of operation, direct visualization, and certain effectiveness, making it a new weapon for the diagnosis and treatment of hematospermia and severe oligoasthenozoospermia.