Patient's question:
Detailed medical condition and consultation purpose: Is it serious if there are blood streaks in the semen? What should I do?Duration and frequency of the current illness: Once
Current general condition: I am doing well overall. No discomfort is felt.
Medical history: None
Previous diagnoses, treatments, and outcomes: I have never had the habit of masturbation.
Doctor's answer:
Hello: First, it is important to actively engage in masturbation. In your current situation, it is essential to undergo a urine test to check. Semen changing from its normal milky white color suddenly to blood red, reddish-brown, or mixed with blood streaks naturally indicates the presence of blood. So, where does the blood come from? It is undoubtedly from a pathological change in some part of the spermatic pathway, such as bleeding, inflammation, or even a tumor. Do not take hematospermia lightly; it could also be a sign of a serious disease. It is best to consult a specialist doctor for a thorough examination. Clinically, hematospermia is not uncommon. After detailed clinical and laboratory tests, the majority can be controlled or cured with treatment, with only a small number of tumor patients requiring further treatment.The composition of semen, apart from the small volume of sperm, mainly comes from the seminal vesicles, followed by the prostate. Anatomically, the ejaculatory ducts connecting the seminal vesicles open into the verumontanum of the posterior urethra, surrounded by 10-20 openings of prostatic ducts. In fact, the seminal vesicles, prostate, and posterior urethra are interconnected, making it easy for inflammation to spread from one to the others. Additionally, the wall of the seminal vesicle is very thin, and once congested, the blood-filled wall is easily prone to bleeding. Therefore, the most common cause of hematospermia is first seminal vesiculitis, followed by prostatitis and posterior urethritis or posterior urethral congestion. It can also be caused by inflammation spreading from nearby organs, leading to inflammation, swelling, congestion, and bleeding of the seminal vesicle wall. Generally, at least 70% of hematospermia cases in individuals under 30 are caused by inflammation.
If the hematospermia occurs only occasionally