The main cause of hematospermia is

Hematospermia may be caused by seminal vesiculitis, prostatitis, seminal vesicle stones, reproductive system damage, tumors and other factors. Hematospermia usually manifests as semen mixed with blood and is pink or dark red in color. It may be accompanied by symptoms such as ejaculation pain and perineal discomfort. It is recommended to seek medical examination promptly and provide targeted treatment after the cause is determined.

1. Seminal vesiculitis

Seminal vesiculitis is a common cause of hematospermia, mostly caused by bacterial infection. Inflammation can cause congestion and edema in the seminal vesicle mucosa, and blood can mix into semen after blood vessels rupture. Patients may experience symptoms such as a feeling of distension in the lower abdomen, frequent urination and urgency. Treatment requires the use of antibiotics such as levofloxacin tablets and cefixime dispersible tablets as directed by the doctor, along with warm water sitz baths to relieve symptoms. Sexual intercourse should be avoided during the acute phase and the perineum should be kept clean and dry.

2.Prostatitis

Prostatitis may cause blood in semen, especially in patients with chronic prostatitis. Inflammation irritates the prostate tissue causing capillary fragility, which allows blood to mix with semen during ejaculation. It is often accompanied by symptoms such as inability to urinate and burning sensation during urination. You can use Tamsulosin Hydrochloride Sustained-release Capsules, Qianlieshutong Capsules and other drugs as directed by your doctor, along with prostate massage to promote the resolution of inflammation. Avoiding prolonged periods of sitting and spicy meals can aid recovery.

3. Seminal vesicle stones

The formation of stones in the seminal vesicles may cause friction and damage to the walls of the seminal vesicles, leading to hematospermia. Stones are mostly formed by semen stasis or deposition of inflammatory products, and may be accompanied by ejaculation pain and dull pain in the perineum. Smaller stones can be expedited by drinking more water and taking stone-clearing granules as directed by your doctor. For larger stones, extracorporeal shock wave lithotripsy or laparoscopic surgery should be considered. Regular semen ejaculation should be maintained daily to avoid prolonged abstinence.

4. Reproductive system damage

Iatrogenic procedures such as perineal trauma, prostate biopsy, and vasectomy may cause damage to the reproductive tract mucosa and cause temporary hematospermia. Vigorous sex or frequent masturbation may also cause capillary rupture. This type of hematospermia usually resolves on its own. During the recovery period, sexual intercourse should be suspended and activities such as riding a bicycle that may compress the perineum should be avoided. If it persists for more than two weeks, you need to seek medical attention to rule out other causes.

5. Tumor factors

Malignant tumors such as prostate cancer and seminal vesicle cancer may have hematospermia as the first symptom and are more common in middle-aged and elderly men. Necrosis of tumor tissue or invasion of blood vessels can lead to persistent hematospermia, which may be accompanied by systemic symptoms such as weight loss and bone pain. Diagnosis needs to be confirmed through prostate-specific antigen testing, MRI and other examinations. After diagnosis, radical surgery, endocrine therapy or radiotherapy should be selected according to the condition. Regular physical examinations can help detect lesions early.

When hematospermia occurs, attention should be paid to the accompanying symptoms and the frequency and color changes of hematospermia should be recorded. During treatment, maintain moderate exercise to enhance physical fitness and avoid overexertion. You should eat a light diet and consume more vegetables and fruits rich in vitamin C to help repair vascular endothelium. Strictly follow the doctor's instructions when taking medication, and do not interrupt treatment on your own. Regular re-examination is required until symptoms completely disappear. Middle-aged and elderly patients should undergo prostate-related screening every year.