Patient's question:
I am 25 years old, unmarried, and have been experiencing hematospermia for nearly three years. A year ago, there was a brief improvement, but it has been constant since then. The color of the blood in the semen varies, sometimes bright red and sometimes dark red. The volume of semen is also quite large.Doctor's answer:
As you mentioned, the most common cause of hematospermia is seminal vesiculitis, and some cases can also be caused by prostatitis or prostate cancer. Treating hematospermia is usually quite challenging, with antibiotic treatment being the most commonly used approach, but it is also prone to recurrence. Currently, for refractory hematospermia, seminal vesiculoscopy cleaning can be considered, but even after cleaning, a portion of patients may still experience recurrence. It is important to note that generally, while hematospermia may be unattractive or unacceptable in appearance, it does not significantly affect the body.