What factors or causes can lead to ejaculation being blood?

Patient's question:

Patient Gender: Mr. Qu
Main Symptoms: Hematuria
Onset Time: One week
Laboratory Test Results: No test performed

Doctor's answer:

Hello, abnormal semen includes: Semen appears milky or slightly yellowish-green, indicating inflammation in the reproductive tract, which is likely a purulent infection of the prostate and seminal vesicles. Semen appears red, indicating the presence of red blood cells, usually referred to as "hematospermia." Hematospermia is mostly caused by seminal vesiculitis or prostatitis. This type of hematospermia caused by inflammation is usually light red. If it is caused by vascular malformation leading to small blood vessel rupture, the hematospermia will appear bright red, and blood clots may be observed. Abnormal semen color is not something to be feared; once the cause or etiology is identified and symptomatic treatment is administered, the color can return to normal.

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