What should I do if I have blood in my semen?

Patient's question:

I've been working too long recently, with very little time to rest. I only get 3 hours of sleep a day, and it's making my head feel dizzy and heavy. I really can't take it anymore. It's gotten to the point where even when I'm intimate with my wife, the semen I discharge has a bit of a bloody appearance.

Doctor's answer:

Hello,
I. Hematospermia is mostly caused by bacterial infections, but it can also result from sexual tension that is not released, long-term abstinence, or excessive sexual activity leading to organ congestion. The symptoms of hematospermia, similar to seminal vesiculitis, primarily manifest as hematospermia during sexual intercourse, accompanied by mild perineal pain, reduced libido, painful ejaculation, premature ejaculation, or a sense of heaviness and distension.
II. Congenital abnormalities. Seminal vesicle cysts usually show no obvious symptoms. When secondary seminal vesiculitis occurs, hematospermia may accompany, and it tends to recur. If the cysts become excessively large, they can compress the bladder and urethra, causing urinary difficulties.
Normal semen is composed of sperm and seminal plasma. Seminal plasma primarily originates from the seminal vesicles and prostate, with 60% derived from the seminal vesicles and 30% from the prostate. The remaining 10% is secreted by other tissues such as the epididymis, bulbourethral glands, and ampulla of the vas deferens. Therefore, when the seminal vesicles, prostate, or other organs involved in semen production and transport develop lesions and bleed, hematospermia occurs.
What are the symptoms of hematospermia? Please refer to the expert's introduction below.

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