Patient's question:
During sex, some blood came out when I ejaculated, and it was very painful. What could be the reason?Doctor's answer:
Tianjin Urological Experts Analysis: Normal semen appears milky or creamy yellow. If the semen ejected appears pink, red, brown-red, or contains blood streaks, blood clots, and numerous red blood cells are observed under microscopic examination, it is referred to as hematospermia, also known as blood in semen.Guidance: Hematospermia is mostly a benign and self-limiting condition. The primary causes include seminal vesicle disorders, such as seminal vesiculitis, tuberculosis of the seminal vesicles, or tumors of the seminal vesicles, with seminal vesiculitis being the most common. Although hematospermia is generally not associated with major diseases, it may sometimes indicate certain systemic diseases or severe organic conditions. It is recommended to seek examination at a reputable tertiary hospital.
In daily life, if you experience hematospermia, pay attention to any accompanying symptoms, such as:
- Frequent urination, urgent urination, or painful urination (symptoms of urinary tract infections);
- Coughing up phlegm, blood, or low-grade fever in the afternoon with night sweats (symptoms of tuberculosis);
- A tendency to bleed easily;
- Difficulty urinating (symptoms of urinary tract obstruction);
- Pain during ejaculation or abnormal sexual function;
- Lower abdominal pain, perineal pain, or pain in other areas, and so on.