What is the problem if blood is present in the semen?

Patient's question:

What is the problem if there is blood in the sperm released? The left testicle still hurts a bit? What kind of medicine can be taken?

Doctor's answer:

Hello, considering your condition, the possibility of hematospermia should be taken into account. Hematospermia is one of the diseases of the male reproductive system, with its main symptom being the emission of red semen during sexual intercourse. It is most commonly seen in modern medicine as seminal vesiculitis and is relatively rare in clinical practice. This condition is often complicated with prostatitis, with its infection pathways primarily being direct extension from urethral and prostatic infection; followed by lymphatic infection and hematogenous infection. If the hematospermia occurs only occasionally and no specific changes are found upon examination, it may also be caused by the rupture of small blood vessels due to sudden congestion and mechanical trauma during sexual intercourse. In such cases of transient hematospermia, there is no need to panic. Simply abstaining from sexual activity for one or two weeks is usually sufficient for complete recovery. On the other hand, bleeding caused by inflammation tends to fluctuate but does not last long. If the hematospermia persists and worsens progressively, the possibility of a tumor cannot be ruled out. It is recommended to seek medical attention as soon as possible to avoid delaying the condition.

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