Is hematospermia the same as seminal vesiculitis? Will it turn into seminal vesicular cancer?

Patient's question:

In February 2010, blood in semen was discovered. The semen contained blood, and a color Doppler ultrasound was normal. However, a routine prostatic fluid test showed inflammation, and a diagnosis of prostatitis was confirmed. The doctor prescribed medication, which was taken at home for a week and resolved the issue. Now, blood has reappeared in the semen, and it is entirely blood. Accompanying symptoms include discomfort in the perineum, anal soreness and numbness, occasional lower abdominal pain, and otherwise normal conditions.

Doctor's answer:

Guidance: The most common cause of hematospermia is seminal vesiculitis, accounting for approximately 80% of cases. Additionally, conditions such as prostatitis and varicocele may also be involved. The likelihood of hematospermia progressing to seminal vesicular cancer is very low. The best treatment method is to take a specialized medicine for hematospermia—Liangxue Huojing Fang— decocted in water and taken internally, which can completely cure the condition.

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