What should be done with the semen?

Patient's question:

Patient Gender: Male
Description: During sexual intercourse with my wife, I experienced a significant amount of blood discharge, followed by prolonged dripping. At times, there is still a slight of blood. Over the past few days, I have been feeling discomfort due to fluid leakage from the tip of my penis. What could be the cause? Please provide an explanation.

Doctor's answer:

Hello, blood in semen is called hematospermia. If the semen appears entirely light red, partially light red, or coffee-colored, it indicates the presence of blood. Normal semen should not contain blood components. If hematospermia occurs only occasionally and no specific abnormalities are found upon examination, it may be caused by minor blood vessel rupture due to sudden congestion and mechanical trauma during sexual intercourse. In such cases of transient hematospermia, there is no need to panic. A temporary abstinence from sexual activity for one to two weeks should allow complete recovery. However, bleeding caused by inflammation tends to be intermittent, such as in cases of prostatitis, seminal vesiculitis, urethritis, epididymitis, prostatic calculi, or ureteral-bladder calculi. If hematospermia persists and worsens progressively, the possibility of a tumor cannot be ruled out. In some patients, widespread bleeding tendencies in other parts of the body may indicate a systemic hemorrhagic disorder, such as leukemia or thrombocytopenia. It is recommended that you visit a professional and reputable urological hospital for diagnosis and targeted treatment. Wishing you good health.

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