Patient's question:
On November 6th last year, I underwent a seminal vesicle surgery at Shanghai Changhai Hospital. Post-surgery, I resumed sexual activity on November 26th and had 4 instances of intercourse with 7 episodes of ejaculation by December 16th, after which everything returned to normal. From December 25th last year to November 13th this year, I had 76 instances of intercourse and 128 episodes of ejaculation, all of which were normal. In mid-November, I had a cold and coughed for half a month. On December 3rd and 7th, I resumed sexual activity, and all 3 instances of ejaculation resulted in blood in the semen.Doctor's answer:
Persistent hematospermia is difficult to cure completely, and its characteristics are somewhat similar to chronic prostatitis, making it prone to recurrence. Generally, oral antibiotics are first attempted, but the treatment duration may be quite long. If various methods still fail to control the condition, cystoscopy of the seminal vesicles is an alternative option. It primarily involves probing and flushing the ejaculatory ducts and seminal vesicles, which helps to clear blockages. Most people experience relief (meaning the hematospermia decreases or disappears), but this does not guarantee that it will not recur in the future. Factors associated with hematospermia include reproductive tract infections, tumors, irregular sexual activity, hypertension, and more.