Patient's question:
Detailed medical condition and consultation purpose: Yesterday, I used a condom during sexual activity. Afterward, I noticed that the semen inside the condom was slightly bloody, but it was light in color. There were no discomforts in my body or sexual organs, and the condom was not broken. Could you please tell me what this could indicate?Doctor's answer:
Hello:Common causes of hematospermia include:
(1) Inflammation of the reproductive tract: such as prostatitis, seminal vesiculitis, urethritis, epididymitis, orchitis, spermatic cord prostatic calculi, ureteral-bladder calculi. Sexually transmitted diseases like gonorrhea and tuberculosis, as well as schistosomiasis. Inflammatory reactions can stimulate, congest, and edema the spermatic cord mucosa, leading to hematospermia. Damage can occur due to prolonged lack of ejaculation, causing the spermatic cord to dilate and bleed during ejaculation.
(2) Duct obstruction and cysts: due to spermatic cord dilation, seminal vesicle cysts, spermatic diverticula, urethral stenosis, prostatic cysts, seminal vesicle cysts, and Whipple's canal cysts.
(3) Tumors and vascular abnormalities: Benign tumors include granulomas, papillary adenomas, adenomatous polyps, inflammation, benign prostatic hyperplasia, prostatic tumors, and spermatic leiomyomas. Malignant tumors include spermatic cord cancer, testicular cancer, prostatic cancer, and prostatic-spermatic sarcoma. Vascular abnormalities include: abnormal veins of the prostate urethra, urethral hemangiomas, spermatic vesicoureteral fistulas, arteriovenous malformations. The urethra may contain prostatic tissue, prostatic polyps, and proliferative urethritis. Testicular tumors may also cause hematospermia, as can vascular tumors and ruptured variant blood vessels. Prostatic urethral and bladder neck varicosities may rupture and bleed.
(4) Systemic factors: Hypertension, hemophilia, purpura, leukemia, lymphoma, cirrhosis, pernicious anemia, and liver-related coagulation abnormalities.
(5) Iatrogenic lesions: Prostate biopsies, prostatic injections, vasectomies, post-orchiectomy, including reproductive tract injuries, pelvic fractures, of hemorrhoids, high-frequency ultrasound, cryotherapy for the prostate, and distance radiotherapy.
According to your condition, please pay attention.