Hematospermia or Bloody Semen
Thank you for reading this post, don't forget to subscribe!The presence of blood in the semen (ejaculate) is called hematospermia (also called hemospermia). Hematospermia is not always noticed; therefore, it is difficult to make estimates of its incidence.
Causes of Hematospermia or Bloody Semen
Blood in semen can be caused by many conditions affecting the male genitourinary system. Areas affected may include the bladder, urethra, the testicles, the tubes that distribute semen from the testicles (known as the seminal vesicles), the epididymis (a segment of the spermatic ducts that serves to store, mature, and transport sperm), and the prostate gland.
Blood in the semen is most commonly a result of a prostate gland biopsy. A majority of patients who undergo a prostate biopsy may have some blood in their semen that persists for three to four weeks. Vasectomy can lead to bloody semen for about one week after the procedure.
In men with hematospermia who have not had a recent prostate biopsy or vasectomy, a number of benign and malignant conditions of the male genital system may be the cause. In many situations, no definitive cause is found.
The following conditions have been reported in association with hematospermia:
- Benign or malignant tumors of the prostate, bladder, testes, or seminal vesicles.
- Infections including, but not limited to, chlamydia, herpes, cytomegalovirus, and trichomoniasis.
- Inflammation of the prostate (prostatitis), epididymis (epididymitis), or urethra (urethritis).
- Calculi (stones similar to kidney stones) in the seminal vesicles or prostate.
- Polyps in the urethra.
- Ejaculation duct obstructions.
- Metastatic cancers (that have spread from other sites in the body) located in the genitourinary system.
- Cysts, hemorrhage, or other abnormalities in the seminal vesicles.
What are the symptoms?
The symptoms that can occasionally accompany blood in the semen may be any of the following, depending upon the cause (these are not all inclusive):
- Painful urination
- Pain with ejaculation
- Blood in urine
- Lower back pain
- Fever
- Tenderness in the testes and/or scrotum
- Swelling in the testes and/or scrotum
- Swelling or tenderness in the groin area
How is Hematospermia or Bloody Semen evaluated?
After the clinical history and a physical examination, Some of the most commonly performed diagnostic tests are a urinalysis and cultures to identify any sexually transmitted or other infections.
When indicated, imaging studies such as ultrasound or MRI may reveal tumors or other abnormalities. In some situations, a semen analysis, in which the semen is analyzed under a microscope, may be recommended.
What is the treatment for Hematospermia or Bloody Semen?
Treatment of blood in the semen is directed toward the underlying cause if a cause has been found. Sometimes, treatment with antibiotics for a presumptive diagnosis of prostatitis and/or inflammation of the prostate gland, is given.
Some studies have shown that up to about one-fourth of men with hematospermia have prostatitis. However, the benefit of such treatment has not been definitively established.
What is the prognosis?
The prognosis relates to the underlying cause of blood in the semen (if a cause can be identified). However, most cases of hematospermia are benign and resolve with minimum treatment. While cancer is a rare cause of blood in the semen, the majority of cases are not related to cancer, especially in younger men.
P. S : This article is only for doctors having good knowledge about homeopathy, and for learning purpose(s).
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Dr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS) ; senior research officer Dnepropetrovsk state medical academy Ukraine; is a leading Homeopathic physician practicing in Al-Haytham clinic, Umer Farooq Chowk Risalpur Sadder (0923631023, 03119884588), K.P.K, Pakistan.
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