Patient's question:
I have recently experienced blood in my semen during sexual intercourse with my wife. It's a lot of reddish semen with a faint red color, not the usual milky white. When my wife is not around and I masturbate, it doesn't happen. What could be the reason for this? Is something wrong inside my penis and causing bleeding?Doctor's answer:
Hello, if the hematospermia occurs only occasionally and no specific changes are found upon examination, it may be caused by the rupture of tiny blood vessels in certain tissues during sexual intercourse due to sudden congestion and mechanical impact. For this transient hematospermia, there is no need to panic. It can be completely restored by abstaining from sexual activity for one to two weeks. On the other hand, bleeding caused by inflammation tends to be intermittent, such as prostatitis, seminal vesiculitis, urethritis, epididymitis, prostatic calculi, or ureteral-bladder calculi. If the hematospermia persists and worsens progressively, the possibility of a tumor cannot be ruled out.