Hematospermia is also known as blood in the semen. Often, it is seen as a symptom of more serious disorders, hence the blood in the ejaculate is regarded with concern among people who experience it.
Hematospermia does not have a particular source, hence usually is bound with other urological problems. In the men’s semen, blood may appear due to damage to the epididymis, seminal vesicles, prostate and bulbourethral glands – coil.
Less common causes of hematospermia is a gentle prostatic hyperplasia, infections (such as prostatitis, urethritis or epididymitis) and prostate cancer – the most common in men aged between 35 and 40 years of age.
Sometimes the appearance of nodules in the seminal vesicles and testes may be associated with hematospermia. It also happens that the problem appears with angioma of the prostatic urethra or channel of the spermatic cord.
One of the causes of hematospermia are also parasitic diseases as blood flukes that attack the urinary tract, often causes hematuria and just hematospermia. These conditions occur in Africa, and to a lesser extent in India and parts of the Middle East, hence they should be taken into account only in men who have spent time in one of these sites.
The symptoms of hematospermia
- difficulty in urinating or stopping the flow of urine
- wetting night,
- burning when urinating,
- penile discharge,
- the blood in the semen,
- an ease of the appearance of bruising,
- frequent nosebleeds,
- night sweats,
- bone pain,
- weight loss – when the cause is cancer.
Diagnosis and treatment hematospermia
At diagnosis, the doctor verifies the medical history of the patient, focusing on prostate diseases, exposure to tuberculosis or HIV, examines the risk factors associated with sexually transmitted infections, known coagulation disorders, and other disorders predisposing bleeding.
Not without significance, there is also the consumption of drugs, anticoagulants, and the like by patient. Very often, hematospermia can occur in people of whom there were cases of prostate cancer in the family, or they took a trip to areas where there are endemic diseases.
A medical examination is an assessment of symptoms including signs of inflammation, especially along the epididymis. Is carried out is also the rectum, which allows evaluating the prostate. The appearance defects along the epididymis and prostate, as well as other conditions, allows evaluating the problem.
In most cases – especially in men between 35-40 years of age, Hematospermia is mild, but it is necessary to verify its causes especially if the symptoms last more than a month, there is hematuria, test results are abnormal, there is fever, weight loss or night sweats.
The occurrence of acute symptoms required, urinalysis, antigens, transrectal prostate ultrasound, MRI and the like.
Treatment is focused on the cause of the disease so that it may take various forms.