Patient's question:
I often have hematospermia. The first semen discharge during intercourse is normal in color, but the second or third discharge turns red. It improves after some time, but it reappears if I have multiple intercourse sessions in one night. This has never happened before; it only started this year. My blood test and urine test results are normal, and ultrasound examinations of the prostate, testicles, and seminal vesicles are also normal. Why is this happening?Doctor's answer:
Hello, hematospermia is one of the diseases of the male reproductive system. Its main symptom is the emission of red semen during sexual intercourse, mostly seen in modern medicine as seminal vesiculitis, which is relatively rare in clinical practice. This condition is often complicated with prostatitis, with its infection pathways primarily being direct spread from urethral and prostatic infection; the second is lymphatic infection and hematogenous infection.Advice: If hematospermia occurs only occasionally and no specific changes are found upon examination, it may be due to the rupture of small blood vessels in certain tissues during sexual intercourse caused by sudden congestion and mechanical friction. In such cases of transient hematospermia, there is no need to panic. Simply abstaining from sexual activity for one or two weeks will allow for complete recovery. On the other hand, bleeding caused by inflammation tends to fluctuate in severity but does not last long. It is recommended to seek medical attention as soon as possible to avoid delaying the condition.