Patient's question:
I am 30 years old and started experiencing hematospermia in early May. I went to the hospital for a check-up, and it was diagnosed as seminal vesiculitis. I was prescribed anti-inflammatory medication and took it continuously for one and a half months. However, the hematospermia did not improve, and there were large amounts of fresh blood in the semen, which was very red. I am very worried. How long does it usually take to recover?Doctor's answer:
Your description is likely due to seminal vesiculitis causing hematospermia. Hematospermia is commonly caused by diseases such as inflammation of the seminal vesicles and prostate, tuberculosis, stones, trauma, varicocele, schistosomiasis, cancer of the seminal vesicles and prostate, papillary polyps of the verumontanum, benign prostatic hyperplasia, and cirrhosis with portal hypertension. The clinical manifestations are generally as follows: blood in the semen. Depending on the cause, there may be corresponding symptoms, such as frequent urination, urgency, dysuria, post-micturition dribbling, decreased libido, and premature ejaculation in cases of inflammation. It may also be asymptomatic. The semen ejected may be pink, red, brown-red, or streaked with blood. Microscopic examination reveals a large number of red blood cells, accompanied by corresponding symptoms and signs of the primary disease causing hematospermia. It is recommended to undergo relevant examinations under the guidance of experts to clarify the cause and condition, formulate a personalized treatment plan, and achieve a complete cure.