Patient's question:

I broke up with my girlfriend, and I'm feeling down. I've been masturbating to vent my emotions, maybe five or six times a night. Now I've noticed that the semen I ejaculate is bloody. Is it serious if masturbation causes bloody semen?

Doctor's answer:

Hematospermia is one of the diseases of the male reproductive system. Its main symptom is the emission of red semen during sexual intercourse, primarily seen in modern medicine as seminal vesiculitis, which is relatively rare in clinical practice. This condition is often complicated with prostatitis, with its infection pathways mainly being direct extension from urethral and prostatic infections; followed by lymphatic and hematogenous infections. Due to bacterial invasion and inflammatory stimulation, the seminal vesicles become congested. During sexual intercourse, smooth muscle and blood vessel contraction lead to the leakage of a large number of red blood cells and pus cells into the semen. If blood-tinged semen is emitted during sexual intercourse, masturbation, or nocturnal emissions, this can be diagnosed as hematospermia.
The best treatment for hematospermia is dietary therapy. Here are a few dietary solutions for you:
(1) Carp Soup: 1 carp (200–500 grams), pepper, cumin, scallions, and ginger in appropriate amounts. Remove the scales, gills, and internal organs of the fish, wash it, and cook it in a sufficient amount of water to make a soup. After it is cooked, add the seasonings. Eat the fish and drink the soup. This has the effect of clearing damp-heat and is used for hematospermia caused by damp-heat accumulation.
(2) Boiled Pig Kidney with Black Beans: 1 pair of pig kidneys, 500 grams of black beans. Wash the pig kidneys, remove the tendons, and cook them with black beans in water until the beans are soft but not mushy. Eat the pig kidneys and remove the black beans to dry them in the sun. Roast the black beans over high heat and chew them, consuming 30–60 grams daily. A 15-day period constitutes one course of treatment. This has the effect of tonifying the kidneys and replenishing essence and is used for hematospermia caused by kidney deficiency and inability to hold essence.