Patient's question:

Hematospermia followed by hematuria. On June 1st morning, after sexual intercourse, I found... and went to the First People's Hospital of Yunnan for examination, but there were no results.

Doctor's answer:

There are many causes of hematuria, which can generally be categorized into the following conditions:
1. Urinary system diseases, such as various types of nephritis (acute glomerulonephritis, viral nephritis, hereditary nephritis, purpura nephritis), stones (kidney, bladder, urethra), tuberculosis of the heart and kidneys, various congenital malformations, trauma, tumors, etc.
2. Systemic conditions, such as bleeding disorders, leukemia, heart failure, sepsis, vitamin C and K deficiency, hypercalciuria, and neonatal conditions.
3. Physical and chemical factors, such as food allergies, radiation exposure, medications, toxins, and post-exercise effects.
It is recommended that you seek medical attention early to determine the cause and receive targeted treatment.
Hematospermia is most commonly caused by seminal vesiculitis. The secretion of the seminal vesicles is one of the main components of semen. When the seminal vesicles bleed, their secretion becomes stained with blood. If this secretion is expelled along with the semen, hematospermia occurs. Chronic prostatitis can also cause hematospermia, with a mechanism similar to seminal vesiculitis. Since prostatic fluid is another important component of semen, inflammation and congestion of the prostate lead to exudation. Frequent sexual activity can cause capillary rupture. Additionally, the forceful contraction and relaxation of the prostate during ejaculation can cause prostatic fluid to be mixed with blood, which in turn stains the semen.
Similar to chronic prostatitis, benign prostatic hyperplasia can also lead to hematospermia. It is advised that you seek medical attention promptly to identify the cause and avoid delaying the condition.