Patient's question:
Last night during rapid ejaculation, it was a bit painful, and then I released red semen... Is there anything wrong?Doctor's answer:
The occurrence of hematospermia is generally caused by male diseases that cannot be treated promptly and effectively. The main causative factors include the following:1. Urological inflammation. The seminal vesicles, prostate, and urinary tract, rectum, and other organs are closely adjacent, making them prone to infection. Post-infection, the inflammatory process can stimulate the mucosa of the tubules and glands, leading to local congestion, edema, and bleeding. The causative agents of infection include viruses, bacteria, mycobacteria, and parasitic infections. Inflammation can also result from trauma, foreign bodies in the urethra, and chemical substances.
2. Epididymal obstruction, cysts. Obstruction of the ejaculatory duct can cause expansion and dilation of the proximal ducts, leading to rupture and bleeding of mucosal blood vessels. Examples include seminal vesicle cysts and prostatic cysts.
3. Male tumors. Various benign tumors have been reported to cause hematospermia, such as ectopic prostate tissue in the urethra, prostatic polyps, and hyperplastic uropathy. Malignant tumors of the prostate, testes, and seminal vesicles can also cause hematospermia.
4. Vascular abnormalities. Varicose veins in the seminal vesicles, prostatic urethra, and bladder neck can be a cause of hematospermia. Additionally, vascular abnormalities in the reproductive system during puberty can lead to hematospermia, including arteriovenous malformations, prostatic angiomata, and rare spermatic cord angiomata.