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Urology  (Expert Forum)
 | 
Red tint to ejaculation
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Red tint to ejaculation

by gr8neon, Dec 24, 2003 12:00AM
Yesterday my girlfriend and I discovered a reddish tint to my ejaculation. It was the 1st time it had happened so I decided to look this up online, I got taken to a prostate cancer website and I was reading through the symptoms. This is the only problem I have and I was just wondering what could be causing this if it is anything else.I am a 21 year old male and in good health, taking my daily vitamins and on a steady diet with exersize. Today it still had the reddish tint but it didn't seem as dark but it still worries me. I could use any help figuring this out and will be visiting a doctor this week. Could this be serious?





                                                   Thanks,

                                                      Jason

by Kevin Pho, MD, Dec 25, 2003 12:00AM
What you are describing is hematospermia - or possible blood in the sperm.  In most cases, there is a benign cause.  



The most common cause of hematospermia is prostate biopsy. Hematospermia lasts more than several days in one-half of men who undergo the procedure.  Other causes can include benign and malignant disorders of the prostate gland, seminal vesicles, spermatic cord, and ejaculatory duct system; urogenital infections; metastatic cancers; and vascular disorders. However, it is often impossible to know with certainty whether these conditions are the cause of hematospermia. The cause is idiopathic in a substantial proportion of patients, and the condition frequently resolves spontaneously.



To evaluate this, I would suggest a urinalysis to evaluate for infection.  A transrectal ultrasound can be considered to evaluate the prostate.  These options should be discussed with your personal physician.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



***I will be away and have limited internet access from December 26th to January 4th. I wish everyone a safe and happy holiday season.***



Take care,

Kevin, M.D.



Bibliography:

Weiss et al.  Hematospermia.  UptoDate, 2004.

Member Comments

by damnmypains, Jan 07, 2004 12:00AM
To: Prostate
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