Why is there blood in the semen that is?

Patient's question:

The semen released has blood in it,,, It's the first time this has happened in so many years. Experts, what's going on here,,, Could it be related to alcohol abuse?

Doctor's answer:

The principles for treating hematospermia are generally the same (with special treatments required for conditions like tumors or tuberculosis). During acute bleeding, sexual activity is strictly prohibited. Even after hematospermia disappears, rest for 1-2 weeks is still recommended. After recovery, sexual intercourse should not be too frequent or intense. Alcohol and spicy, irritating foods should be avoided to prevent exacerbating congestion. Long-distance cycling or horseback riding should be avoided.
Once a week, seminal vesicle and prostate massage can help expel inflammatory secretions. Warm water sitz baths should be taken once daily for 15-20 minutes, with water temperature maintained at 41-42°C (a 30-day course followed by a 10-day rest before the next course). Antibiotics such as penicillin, gentamicin, and kanamycin (administered via muscle injection, local ion, etc.) are also necessary. Symptomatic treatments with hemostatic drugs like vitamin K and Anluoxue are equally important.
Physical therapy and traditional Chinese medicine treatments can also be adopted. When posterior urethritis is involved, posterior urethral medication instillation therapy may be performed.

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