Patient's question:
The last two sexual encounters were quite intense. This morning after sex, I noticed one or two drops of blood inside the condom, separate from the semen. It was very clear. The semen was milky white. Over the past two days, we've had sex once a day on average. The main issue is that the blood wasn't mixed with the semen. Could it be caused by an impact between the seminal vesicles and the woman's pubic bone? This is the first time this has happened. It has never occurred before. The semen was in the front of the condom, and the blood was at the back.Doctor's answer:
From an anatomical perspective, the ejaculatory duct, which connects to the seminal vesicle, opens at the urethral crest of the posterior urethra, surrounded by 10-20 openings of prostatic ducts. In fact, the seminal vesicle, prostate, and posterior urethra are interconnected, making it easy for inflammation to spread from one to the other. Additionally, the wall of the seminal vesicle is very thin, and once congested, the blood-vessel-filled wall is prone to bleeding. Therefore, the most common cause of hematospermia is first seminal vesiculitis, followed by prostatitis and posterior urethritis or congestion of the posterior urethra. It can also be caused by inflammation spreading from adjacent organs, leading to inflammation, swelling, congestion, and bleeding of the seminal vesicle wall. Generally, at least 70% of hematospermia cases in individuals under 30 are caused by inflammation. Kidney stones have no direct relationship with hematospermia. It is recommended that you seek treatment for stone fragmentation at a formal hospital.