Patient's question:
A month ago, there were a few blood streaks in the semen. It was not treated. Recently, there are large blood clots in the semen.Doctor's answer:
The principles for treating hematospermia are generally the same (except for conditions like tumors or tuberculosis that require special treatment). During acute bleeding, sexual intercourse is strictly prohibited. Even after hematospermia disappears, rest for 1-2 weeks is still recommended. After recovery, sexual activity should not be too frequent or intense. Alcohol and spicy, irritating foods should be avoided to prevent aggravating congestion. Long-distance cycling or horseback riding should be avoided.Once a week, seminal vesicle and prostate massage can help expel inflammatory secretions. Daily hot sitz baths for 15-20 minutes (water temperature: 41-42°C) are recommended, with a 30-day course followed by a 10-day rest before the next cycle. Antibiotics such as penicillin, gentamicin, and kanamycin (administered via intramuscular injection, local ion, etc.) are also necessary. Symptomatic treatments with hemostatic agents like vitamin K and Anluoxue are equally important.
Physical therapy and traditional Chinese medicine treatments can also be used. If posterior urethritis is present, posterior urethral medication instillation therapy may be performed.