Men’s Health – Blood in Semen

When men spot blood in their semen, they automatically panic thinking that something is wrong. Blood in semen, called hematospermia, is uncommon but rarely serious. The blood can be bright red, clot or just brown-tinged. While the presence of blood in semen, for the most part, is usually no need for concern, it can sometimes be the result of other serious medical conditions. In most cases, blood in semen is caused by conditions affecting the tubes that distribute semen from the testicles. Most causes cannot be found and the blood will go away without treatment. The most common cause for hematospermia is inflammation of the seminal vesicles or prostate gland. Blood can also enter the semen when a small blood vessel tears during ejaculation or straining with constipation. In about 2% of men, there could be a more serious medical condition causing the bleeding. These conditions could include an infection in the prostate, a congenital bleeding disorder, blockage or injury to the prostate gland or seminal vesicles, or tumor. Men who have had prostate biopsies may also experience some bleeding.

While hematospermia can occur at any time in a man’s life, men under 40 usually experience only one episode and the bleeding does not come from anything serious. Men over 40 may require a more thorough workup to make sure there are no medical reasons for the blood. Hematospermia is usually painless in most men, but a small percentage may experience some pain. This pain can come with urination, ejaculation, or bowel movement. There may also be swelling in the scrotum or groin area or there may be blood in the urine.

If you see blood in your semen, contact your doctor so he can examine you to rule out any serious medical condition. Your doctor may have you rest at home, apply ice and monitor the symptoms. If he suspects there is something more serious causing the bleeding, he may order tests. Some of the tests that can be ordered could include blood tests, urinalysis or physical exam. The doctor may ask you some questions so he can fully understand the reason for the bleeding. He may ask how much blood you saw, was this the first time you noticed the blood or have you seen any blood since, did you have any pain associated with the bleeding, or did you have any straining that occurred when you notice the blood. For men over 45 your doctor may suggest having a prostate exam to rule out prostate cancer.

No matter what your age, it is important to see a doctor as soon as possible so treatment can be started.