DRHC Dubai Urology Clinic

Hemospermia - Blood in the Semen at Urology Clinic DRHC Dubai

Blood in ejaculatory fluid(semen) is considered a symptom of various possible reasons. Blood in the ejaculation is often worrisome. It usually affects patients between the ages of 30 and 50. Most of the cases are not serious, but the 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, diverticula, 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 on the prostate, such as biopsy or any procedures affecting the prostate, transrectal.
  • Epididymo-orchitis, testicular tumor.
  • Without an underlying reason, it may reach (ca. 30%).

I 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 a major symptom of chronic prostatitis, but statistically, we found that it reached 7.1% of the cases of accompanying infection of the testes and epididymitis. It also reached 26% in some rare diseases, like tuberculosis disease, with cases of prostate involvement.

Some bacterial infections 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 cases need 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 persistent hematospermia.

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

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

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