Patient's question:
How should a man be treated for hematospermia?Doctor's answer:
Disease Analysis: Hello, blood in semen is one of the male reproductive system diseases. Its main symptom is the emission of red semen during intercourse, commonly seen in modern medicine as seminal vesiculitis, which is relatively rare clinically. This condition is often complicated with prostatitis, with its infection pathways primarily being direct extension from urethral and prostatic infections; followed by lymphatic and hematogenous infections. Due to bacterial invasion and inflammatory stimulation, the seminal vesicles become congested. During intercourse, smooth muscle and blood vessel contraction lead to the mixing of a large number of red blood cells and pus cells in the semen.Guidance: The treatment principles for blood in semen are generally the same (except for conditions like tumors or tuberculosis that require special treatment). During acute bleeding, the main measures include:
1. Abstinence from sexual activity. Even after blood in semen disappears, rest for 1-2 weeks, and avoid frequent or intense intercourse after recovery.
2. Avoid alcohol and spicy, irritating foods to prevent worsening congestion. Do not engage in long-distance cycling or horseback riding.
3. Weekly seminal vesicle and prostate massage helps expel inflammatory secretions.
4. Hot water (sitz bath) once daily for 15-20 minutes, with water temperature at 41-42°C (30-day course, followed by a 10-day rest before the next course).
5. Antibiotics such as penicillin, gentamicin, and kanamycin (administered via intramuscular injection or local ion) are effective.
6. Symptomatic treatments like vitamin K and anluo blood (a hemostatic agent) are also necessary.
Other treatments include physical therapy and traditional Chinese medicine. When complicated with posterior urethritis, posterior urethral medication instillation therapy can be applied. With proper treatment, recovery will not affect sexual activity or fertility, so there is no need to worry excessively. However, it is important not to be complacent, as delaying treatment may worsen the condition.