What is the reason for blood in the semen?

Patient's question:

When I was a child, Gao Wan suffered injuries from basketball, and I didn't go to the hospital for a check-up. I had superficial cuts from falling into a ditch at school and applied ointment. I only recently discovered this, as I've rarely interacted with the opposite sex since I was young, which has led to me being 27 and never having had a girlfriend or sexual experience. When I finally had a girl stay the night with me, I lost my erection right away, and it seemed to be the same with subsequent encounters. I suspect I have a sexual dysfunction. What should I do? Is it premature ejaculation? Maybe, but even when I watch porn, my erection doesn't last long and just goes soft on its own. ```How unlucky I am. I don't know what to do.

Doctor's answer:

Ejaculate containing blood is called hematospermia. If the semen appears entirely light red, partially light red, or coffee-colored, it indicates the presence of blood, as normal semen should not contain blood components. The causes of hematospermia include: (1) Inflammation of the reproductive tract, such as prostatitis, seminal vesiculitis, urethritis, epididymitis, prostatic calculi of the spermatic cord, and ureteral-bladder calculi. (2) Obstruction and cysts of the seminal tract. (3) Tumors and vascular abnormalities. (4) Systemic factors: hypertension, hemophilia. (5) Injury to the reproductive tract. It is recommended that you visit the department of reproductive infections in a hospital, avoid excessive sexual activity, maintain regular bowel movements, and undergo scientific testing to identify the cause. Targeted treatment based on the identified cause can lead to a complete cure.

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