The presence of blood in semen, also called hemospermia, can be a source of anxiety for patients, who then consult urgently. Fortunately, the causes of this phenomenon remain benign in the vast majority of cases.
“The presence of blood in the semen may be impressive, but it is usually not a sign of seriousness and does not affect sexual function”, confirms Dr. Antoine Faix, urologist and andrologist, member of the National Academy of Surgery and the French Society of Urology.
Hemospermia: what does it look like?
Hemospermia is easy to recognize: semen takes on a pink, bright red or even rusty brown or brown huedue to the presence of more or less fluid and recent blood.
Sometimes doubts remain about the origin of the blood: “Men may be inclined to think that it is not their blood, but, for example, that of their partner”, emphasizes the urologist. To clear up any ambiguity, nothing could be easier, just ejaculate in a condom or resort to masturbation.
Note: hemospermia can occur at any ageindividually, or intermittently or systematically.
Causes: Why Do I Have Blood in My Semen?
As a memory, semen consists of sperm from the epididymis and liquids originating from the seminal vesicles, the prostate and the small mucous glands that supply the fluids intended to nourish the spermatozoa. The presence of blood in the semen thus indicates a bleeding from any of these structures or, more broadly, in the genitourinary system†
“Mostly, the causes remain idiopathicthat is, we cannot determine the origin of the bleeding, which occurs without warning signs and stops spontaneously,” emphasizes Dr. Faix. However, several causes can explain the presence of blood in semen:
- a biopsy recent prostate,
- a vasectomy recent,
- a trauma (in the testicles or perineum),
- a deformity prostate, kidney or seminal vesicles,
- a benign prostatic hyperplasia (benign prostatic hyperplasia),
- a bacterial, viral, or parasitic infection of the prostate, seminal vesicles, or urethra (prostatitis, epididymitis, urethritis, etc.).
- the presence of a cystlocated in the genitourinary system or at the level of the ejaculatory ducts,
- or a blood clotting disorder (particularly in connection with taking medication).
very rarely, a tumor (malignant or benign) of the prostate, but also seminal vesicles, bladder or urethra can also explain the presence of blood in the semen.
Should we be concerned about the presence of blood in semen?
Hemospermia is overwhelming the sign of a benign, infectious or inflammatory pathology. So there’s nothing to worry about even if a medical consultation is recommended to take stock and fend off any danger.
If you notice the presence of blood in your semen after, for example, a trip abroad, it is important to discuss this with a doctor in order to ward off certain diseasessuch as schistosomiasis (also called schistosomiasis), or even tuberculosis.
If the hemospermia is recurrent, progresses, is accompanied by pain, heaviness in the lower abdomen, it should definitely be the subject of a clinical trial! This may indicate the presence of a serious pathology, such as prostate cancer.
Blood in the semen: who to consult?
†You cannot bleed to death from hemospermia. But it is better to consult, especially if this phenomenon concerns young men, during their first ejaculations”, emphasizes the urologist. The first step therefore consists of consult your doctorwho, if necessary, will refer you to a specialist doctor to determine the cause of the bleeding more accurately.
Mostly, a simple clinical examination, sometimes supplemented with prostate exam (digital examination), blood test or urinalysisare sufficient to make the diagnosis. Sperm inspection and analysis may also be required. As part of a complete assessment, an ultrasound or an MRI can rule out the hypothesis of prostate cancer.
What solutions in case of hemospermia?
The “treatment” of hemospermia focuses on the cause, if it is known (we speak of etiological treatment). But often no treatment is needed and the blood disappears spontaneously from the semen. “If no obvious cause is found, patients are advised to monitor the recurrence of the condition and pay attention to their lifestyle,” says Dr. faix.
- If the cause is contagious, antibiotic treatment usually resolves the problem quickly.
- The presence of a cyst bulky and painful, or a deformity may require surgery.