Patient's question:
Due to not seeing my wife for a long time, I was a bit excited during sex last night. After I finished, I was so tired that I couldn't move. When I was cleaning, I noticed that there was blood on the toilet paper. It turned out that I had bled during ejaculation. This scared both of us.Doctor's answer:
Normal semen is milky white when expelled from the body. If the semen observed is pink or red, it is called hematospermia, also known as "gross hematospermia." The most common cause of hematospermia is seminal vesiculitis. The seminal vesicles serve two functions: storing sperm and secreting seminal fluid. They have a rich layer of small blood vessels, containing numerous microvessels that are easily damaged and bleed. Additionally, since the seminal vesicles are located above the prostate and between the bladder and rectum, their ends merge with the vas deferens to form ejaculation and lead to the urethra. Due to their proximity to organs such as the prostate, urinary tract, and rectum, if inflammation occurs in these areas, bacteria can easily spread to the seminal vesicles, causing inflammation, swelling, congestion, and bleeding, which in turn leads to hematospermia. Most cases are accompanied by pain in the perineum, rectum, and lower abdomen, or dysuria.When hematospermia occurs, it is important not to panic or feel frightened. Do not bear unnecessary mental burdens and seek active treatment. Hematospermia caused by non-tumorous conditions generally responds well to treatment. If hematospermia appears occasionally and no abnormalities are found during examination, it is often due to sudden congestion of the genital organs during sexual activity, leading to the rupture and bleeding of small blood vessels. This is known as transient hematospermia. In such cases, abstaining from sexual activity for a few days may allow the condition to resolve on its own without the need for any treatment.