Definition - What does Hematospermia mean?

Hematospermia is the presence of blood in semen. While alarming, blood that appears in semen after ejaculation is rarely related to major health concerns and is generally caused by a treatable sexually transmitted infection (STI) or a urinary tract infection (UTI).

Without treatment, infections can damage a man's reproductive system, threatening his ability to contribute to conception. In some rare cases, hematospermia that is experienced by men who suffer from other high-risk health factors may indicate more significant conditions, including prostate cancer.

Hematospermia can also be called hemospermia.

FertilitySmarts explains Hematospermia

In men under the age of 40, hematospermia requires a minor level of treatment and reassurance. The condition will often clear up on its own. For men over 40, evaluation is important to rule out other health concerns.

Typically, hematospermia is caused by:

  • Infection of the prostate, urethra, seminal vesicles, or epididymis
  • Sexually transmitted infection such as chlamydia or gonorrhea
  • Trauma to the region
  • Tumors, growths, or polyps in the reproductive tract

Chronic or untreated infections, including STIs or UTIs, can become severe health issues, and cause the following:

  • Urethra damage
  • Epididymitis
  • Deteriorated sperm quality

Each of these conditions may negatively impact a man's ability to contribute to conception. Additionally, transmission of certain STIs can be transferred to female partners. This has the potential to cause pelvic inflammatory disease (PID), leading to tubal blockage or other female reproductive system complications.

In rare conditions, hematospermia can be caused by:

  • HIV
  • Leukemia
  • Liver disease
  • Prostate cancer

To diagnose the cause of hematospermia, several tests are typically conducted:

  • Urinalysis
  • STD testing
  • Cancer screening
  • Urological evaluations, such as MRI, CT scan, or ultrasound

Treatment is based on the cause and may include antibiotics or other anti-inflammatory medications, cancer treatment, or lifestyle changes.

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