Ejaculation bleeding

Patient's question:

I am 56 years old, male, and have always been very energetic. This morning, after ejaculation, I noticed bleeding from my penis, and later felt some lower abdominal pain. This has never happened before, and my health condition has always been good. I would like to consult an expert about what factors or causes might have led to this?

Doctor's answer:

Hematospermia is one of the diseases of the male reproductive system, with its main symptom being the emission of red semen during sexual intercourse. It is most commonly seen in modern medicine as seminal vesiculitis and is relatively rare in clinical practice. This condition is often complicated with prostatitis, with its primary infection pathways being the direct spread of urethral and prostatic infections. Secondary pathways include lymphatic infection and hematogenous infection. Due to bacterial invasion and inflammatory stimulation, the seminal vesicles become congested. During sexual intercourse, smooth muscle and blood vessel contraction lead to the leakage of a large number of red blood cells and pus cells into the semen. This can be treated with traditional Chinese medicine that nourishes yin, reduces fire, cools blood, and stops bleeding.
[Medication]
Shengdi 15 Dangpi 12 Zeixie 12 Zhimo 12 Shanyurou 10 Yunling 18 Nuzhenzi 15 Xianhetao 18 Haliancao 12 Huaishan 15 Huangqi 24 Wumei 9
[Explanation]
In this formula, Shengdi nourishes kidney yin; Dangpi cools blood and clears liver fire; Zeixie dispels heat; Zhimo reduces excessive heat; Huaishan tonifies the spleen; Yunling tonifies the spleen and promotes diuresis; Nuzhenzi and Haliancao nourish the liver and kidneys, cool blood, and reduce heat; Wumei and Xianhetao astringe and stop bleeding; Huangqi tonifies qi and reinforces the root; Shanyurou guides fire back to its origin.

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