The term «hemospermia» indicates a conditionally pathological condition characterized by the presence of blood in the semen during or immediately after ejaculation, often painful. Some patients complain that an admixture of black or coffee color appears in the semen. Of course, clinical signs make men anxious, however, it should be understood that the presence of blood in semen is usually benign. Nevertheless, the timely consultation of an experienced specialist is extremely important in order to exclude any hidden diseases and dispel the doubts of a frightened patient.
Most men at least once in their life have observed traces of blood in semen, especially young people who have sexually active and promiscuous sex life. In older men, complaints of hemospermia are rare and its causes are rather serious problems of the genital area. Hemospermia is a frequent companion of urological problems.
Causes of hemospermia
As we said above, in most cases, blood in semen is not associated with any kind of painful condition, especially when it comes to young and sexually active men. Hemospermia, as a pathological phenomenon, is characteristic primarily for urethritis, prostatitis, inflammation of the seminal vesicles. Less commonly, hemospermia occurs in association with specific infections (cytomegalovirus, trichomonas, chlamydia), hemorrhagic cystitis, and blood diseases (coagulopathy). There may be blood in the semen after a biopsy of the prostate or any invasive interventions in the genitourinary system, as well as in the presence of stones in the kidneys, bladder and ureters. In rare cases, hemospermia is one of the symptoms of prostate cancer.
Diagnosis of hemospermia
hemospermia Sperm analysis , is by far the most suitable diagnostic test to identify potential pathogens in seminal fluid. If a patient older than 50 complains of blood in semen, then spermograms and rectal palpation are not enough, it is necessary to undergo a transrectal ultrasound examination. A PSA (prostate-specific antigen) test is necessary to rule out possible cases of prostate cancer.
Regular monitoring of blood pressure is important, especially for older men, since hypertension can be a risk factor for hemospermia.
In case of suspected In case of suspected.
Treatment of hemospermia
The therapy of hemospermia is aimed at eliminating the causes of the condition. If diagnostic tests indicate the presence of pathogenic microorganisms, then the treatment is based on the use of antibiotics, it is possible to use phytotherapeutic anti-inflammatory drugs. If the cause of hemospermia is stenosis of the urethra, then it makes sense to resort to surgical intervention.