Semen - bloody; Blood in ejaculation; Hematospermia
Blood in the semen is called hematospermia. It may be in amounts too small to be seen except with a microscope, or it may be visible in the ejaculation fluid.
Blood in the semen may also be caused by:
Often, the cause of the problem cannot be found.
Sometimes, the visible blood will last several days to weeks, depending on the cause of the blood and if any clots formed in the seminal vesicles.
Depending on the cause, other symptoms that may occur include:
The following steps may help ease discomfort from a prostate infection or urinary infection:
Always call your health care provider if you notice any blood in your semen.
The provider will perform a physical exam and look for signs of:
You may need the following tests:
Gerber GS, Brendler CB. Evaluation of the urologic patient: history, physical examination, and urinalysis. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 1.
Kaplan SA. Benign prostatic hyperplasia and prostatitis. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 120.
O'Connell TX. Hematospermia. In: O'Connell TX, ed. Instant Work-ups: A Clinical Guide to Medicine. 2nd ed. Philadelphia, PA: Elsevier; 2017:chap 30.
Small EJ. Prostate cancer. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier Saunders; 2020:chap 191.BACK TO TOP
Review Date: 7/31/2019
Reviewed By: Sovrin M. Shah, MD, Assistant Professor, Department of Urology, The Icahn School of Medicine at Mount Sinai, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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