Ejaculation with blood

Patient's question:

I have always had the habit of masturbation. I don't have a girlfriend right now, and I'm in my adolescence. I've noticed that my masturbation frequency is very high, which is very uncomfortable. I don't want to masturbate, but sometimes I can't control it. Yesterday, after masturbation, I found blood in my semen and I'm very worried. I don't know if it's caused by masturbation.

Doctor's answer:

In addition to occasional hematospermia caused by excessive masturbation leading to urethral injury, it is also possible for blood in semen to occur due to frequent masturbation resulting in reproductive tract damage, rupture of seminal vesicle blood vessels, and subsequent bleeding. The causes of hematospermia include:
(1) Inflammation of the reproductive tract, such as prostatitis, seminal vesiculitis, urethritis, epididymitis, prostatic calculi of the spermatic cord, and urethral-bladder calculi.
(2) Obstruction of the seminal tract and cysts.
(3) Tumors and vascular abnormalities.
(4) Systemic factors: hypertension, hemophilia.
(5) Reproductive tract injury.
It is recommended that patients reduce or abstain from masturbation, pay attention to personal hygiene, especially local cleanliness, maintain a regular lifestyle, eat a light diet, drink plenty of water, avoid spicy and irritating foods, and abstain from smoking and alcohol. Timely medical examinations, such as routine prostatic fluid tests and bacterial cultures, should be conducted at formal hospitals to confirm the diagnosis. Based on the examination results, patients should actively cooperate with treatment as prescribed by the doctor.
Expert Tip: Beyond understanding whether "masturbation causes hematospermia," men should also be aware that excessive masturbation can easily lead to infections in the male reproductive system, resulting in chronic prostatitis, urethritis, chronic pelvic congestion, frequent nocturnal emissions, and other diseases. It may also cause sexual dysfunctions such as premature ejaculation, erectile dysfunction, and anejaculation, which can affect future fertility. It is essential to moderate masturbation! It is recommended to engage in masturbation 2–3 times per month.
If a male experiences hematospermia, he should seek medical attention at a relevant hospital as soon as possible. Early treatment leads to early recovery, avoiding more severe consequences, including male infertility caused by hematospermia.

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