Patient's question:
What are the causes of hematospermia? Yesterday, when I had sex with my wife, I noticed blood in my semen. Today, I went to the hospital for a check-up, and the doctor said it was hematospermia. I want to know what causes hematospermia?Doctor's answer:
The causes of hematospermia include:1. Diseases of the seminal vesicle and prostate: Such as inflammation, tuberculosis, schistosomiasis, stones, and injuries of the seminal vesicle and prostate, which are the most common causes.
2. Other causes: Varicocele, prolonged and repeated compression of the scrotum, portal hypertension with cirrhosis leading to increased pressure in the prostate venous plexus through collateral veins, and dilatation and rupture of veins under the posterior urethral epithelium can also cause hematospermia.
3. Hemorrhagic disorders: Conditions like purpura and leukemia, as well as scurvy, can increase vascular fragility and alter coagulation mechanisms, leading to hematospermia.
4. Tumors or trauma: Cancers of the seminal vesicle or prostate, papillary tumors of the verumontanum, benign prostatic hyperplasia, or trauma can all cause capillary rupture in the reproductive tract, mixing blood with semen and resulting in hematospermia.
It is recommended to visit a formal specialized hospital to identify the cause of hematospermia and receive symptomatic treatment for optimal results.