Patient's question:
Semen contains blood, it is dark red in color, and there are no other symptoms normally. What disease is it and how should it be treated?Doctor's answer:
When a grown man experiences ejaculation and finds that his semen has turned red, sometimes mixed with streaks of blood, his feelings of tension and fear are understandable. The presence of blood in semen is medically known as hematospermia, and it is most commonly caused by seminal vesiculitis.We know that in the posterior urethra, behind the prostate, there are a pair of tubular glandular tissues called seminal vesicles.
The seminal vesicles are connected to the posterior urethra through the ejaculatory ducts. Due to the thin walls of the seminal vesicles, if inflammation, congestion, or conditions such as stones occur, the blood-filled walls are prone to bleeding. The secretion of the seminal vesicles is one of the main components of semen. When the vesicles bleed, their secretion becomes stained with blood. If this stained secretion is expelled along with the semen, hematospermia occurs.
Because the seminal vesicles and the prostate have a close anatomical relationship, these two organs often suffer from inflammation together. That is, seminal vesiculitis frequently occurs concurrently with chronic prostatitis.