Patient's question:
I am 33 years old this year, and I live a very disciplined life. I only sometimes masturbate, not frequently. Last night, while masturbating, I noticed that my semen was pink, and there were no unusual sensations in my body or locally. But I am very scared. I request a reply in your busy schedule. Will this affect fertility? How should I be treated? Thank you!! Thank you!! Thank you very much!! {haiyang0616@126.com} Thank you!!!!Doctor's answer:
??????Hematospermia should be promptly investigated to identify the underlying cause, followed by targeted treatment. For conditions like prostatitis or seminal vesiculitis, the primary focus should be on anti-inflammatory treatment. In cases of tuberculosis, anti-tubercular therapy is essential. If the cause is a tumor, surgical intervention is necessary. For unexplained cases, antibiotic and sulfonamide or quinolone drugs may be used for anti-infection treatment. In some cases, massage of the seminal vesicles and prostate may be employed to allow the fluid containing bacteria in the seminal vesicles to be expelled early, facilitating recovery.If hematospermia persists, electrocautery under urethral scope examination may be performed to stop bleeding. During acute periods, the blood appears bright red, and the first step is to cease sexual activity and rest for 1-2 weeks. Subsequently, the amount of blood in the semen may decrease, and the color may turn dark brown, indicating old blood. In such cases, sexual activity may be cautiously resumed 1-2 times, but the frequency should not be too high, and the movements should not be too forceful. The reason for not advocating complete abstinence from sex is to provide an "exit" for the stagnant, infected semen or blood in the seminal vesicles or prostate, allowing it to be expelled promptly to prevent worsening of infection or spread. Additionally, the duration of each sexual encounter should not be excessively long, as the goal is to expel old semen or blood clots, thereby avoiding further congestion of the prostate, which could exacerbate bleeding or recurrence.
During sexual activity, a calm and composed mood is advisable, with minimal excitement. Movements should be gentle, avoiding sudden or forceful actions. At the same time, the intake of foods such as alcohol and spicy dishes should be reduced to prevent further congestion of the affected area.