DRHC / Dr Rami Hamed Center
DRHC Dubai Urology Clinic

Hemospermia - Blood in the Semen - DRHC Dubai Urology Clinic

Blood in ejaculatory fluid(semen) is considered a symptom of various possible reasons. Blood in the ejaculation is often worrisome. It usually affects patients at the age 30-50. Most of the cases are not serious but reason for malignancy must be considered.

Causes of hematospermia:

  • Vesiculitis
  • Prostatitis (ca. 40%) 
  • Polyps, cysts, stones and telangiectasia.
  • Varices and carcinoma
  • Urethral and bladder: condylomas, polyps, and utricular cysts.
  • Seminal vesical stones, cysts, diverticulum, and carcinoma.
  • Infection:
  • From my experience, I believe that bacterial infection is one of the most important factors.
  • Different types of bacteria.
    The following are considered more infectious: Escherichia coli, gonococci, rare due to Mycobacterium tuberculosis.
  • Any procedure in prostate such as biopsy or any procedures affecting prostate, transrectal.
  • Epididymo-orchitis, testicular tumor.
  • Without underlying reason, it may reach to (ca. 30%).

Book an AppointmentI believe that the most common cause is due to infection (under 40 years old, it reaches up to 16%, above 40 years old, it reaches up to 11%).

More than 40 typical microorganisms are responsible for urinary tract infections such as Escherichia coli, Proteus mirabilis, Klebsiella pneumoniae, and Enterobacter.

Blood in sperm is not considered as a major symptom of chronic prostatitis but statistically, we found that it reached to 7.1% of the cases of accompanying infection of testes and epididymitis. It also reached to 26% in some rare diseases like in tuberculosis disease with cases of prostate involvement.

Some bacterial infection can be more specific such as Neisseria gonorrhoeae, Treponema pallidum, and Cytomegalovirus.

Treatment for Hemospermia:

Treatment for blood in semen depends on many factors. Most of cases needs special examination and investigation. In general, we classify the patients into two groups:

  • Under 40 years of age, there is usually no serious underlying disease. 
  • Age over 40 years, there is repetitive or persisting hematospermia.

We have to take it seriously in thinking about cancer. These equations and signs are highly considered. Sometimes even with family history of prostate cancer, elevated PSA, hematuria, and all other investigations, reason for hemospermia remains unclear.

 We do our best professionally to get proper diagnosis to avoid delaying consequences.

Our Urologist in DRHC Dubai Urology Clinic offers the best Urological treatment.

Dr Tamer

Dr. Tamer Abo-Bakr

Specialist Urologist