blood in sperm and in urine after ejaculation

[losst]

10 months ago i saw blood in my sperm after intercourse. i had sex twice and everything was ok, and after the third time the problems began. my partner and i had hard sex and my penis hurt a bit when she was on top of me. i urinated a few minutes after ejaculating and blood came out along with a very big blood clot at the end. i had sexual intercourse about 7 or 8 times before seeing a doctor. the same occurred except for 2 times, in which no blood appeared. but the majority of times blood came out in the sperm, or only after ejaculation during urination, or both in the sperm and the urine. once i woke up without having had sex that week and urinated blood. i tested my blood, sperm, and urine and the only abnormality was a high psa level. my dr said it is very rare and is that high in 40/50 year old. i did a biopsy for prostate cancer and my dr said that everything was ok. after the biopsy, i waqs back to normal. however, the dr didn't know what was wrong and said it was an infection that went away. he didn't explain how it went away, and he told me to take vitamins and drink water. this was in september. 2 months ago i did a psa test and it was on the same level. no blood had appeared until three weeks ago. i had sex 4 times. the first three were normal, and during the fourth i ejaculated blood and blood and a blood clot came out in my urine. 4 days ago i was at a strip club and had a lap dance. i was aroused and had an erection. i went to the wc and a huge clot came out followed by blood an then another clot. this occured again during urination. i had not ejaculated thoug

[hanski816]

Hi chaps. You're not alone. This is the last of disorders we guys ever willing to face,  but here we are. At least we can share our experiences and try to collect some useful information from it.

I'm 31 now. I'm very familiar with most of the symptoms. I have do have abnormal anatomy though. only one (right) testicle since my birth. I had remains of left side testicle and epidymis when I was born, but at the age of 2, the surgeon removed all remaining remnants. He also looked for the left testicle from my inguinal canal way up there. It could be that I had under developed left testicle because my mother had chickenpox infection in 7th month of preqnancy. Otherwise I'm as normal as man can be, Up till 29 years of age I've had plenty of joyful sex and plenty of masturbation. I have healthy daugther, born in 2009. So everything had to be ok down there. Before 2011.

I've had the first blood scenario in april 2011 during sex with my woman (with 4-5 dozes of beer involved). I had to keep it from cumming, I remember. She was on top of me. I remember having "premature Ejaculation" when she quickly moved away ( so I didn't not *** inside her). That point I felt like keeping it from ejaculating a bit too much and had to release some. It was blood mixed with seamen. Blood clots following that. Since then it has occured occasionally now 7 times in two years. Antibiotics might have helped, as longest time not having bloody ejaculation / blood during erection was after taking 10-20 day course of antibiotics. Eventually it happened again. Last saturday night I was having sex and again, alcohol (10 dozes of it) involved. 10 minutes of having erection and doing oral pleasure for her we decided to go for it. It was 5 mins of pushing from behind and I suddenly noticed a leak of blood in tip of my penis. Blood clot was so big this time that I had to push very hard and three different times to get it out. Finally it came out. quite big one.
Tests done: PSA, rectal prostate exam twice, scrotum ultrasound. urine tests. all normal.

90% of my incidents, alcohol was involved. Moderate 3-4 dozes to as high as 10 dozes. When sober (most of the time during the week) I can keep erection and masturbate gently without problems, almost daily. Sex with relatively fast body movements during sex seems to be one of the triggers as well as the angle of the penis when going in and out as it could change to pressure inside genital area.

My take on this is: Pressure in genital area, high amount of sexual excitement + alcohol seems to be one of the triggers. Sex position could affect the amount of pressure down there and make it leak blood easier. I'm not sure if it's blood weak vessel in prostate area or seminal vesicles or what. Doctors seems to be mostly unsure as well. Alcohol amount could affect the size and amount of blood clots. Alcohol is a kind of blood thinner and makes the blood pressure to peak when using excessive amounts. The pressure makes blood to bleed even more and faster. Clotting is natural reaction of body as it's the way of healing itself, so clots alone doesn't worry me, but passing then are the worst part. What I've noticed, blood clots doesn't always form. Sometimes blood comes with ejaculation sometimes before it. There's many variables. if the blood comes with ejaculation, chances are there's no visible blood in urine right after, but when slowly leaking blood, there usually is. One thing is sure, pressure makes us bleed. We need to know what made us prone to bleed under pressure, what can be the cause of this ? Is our body weakened ? What is our mental state and physical state at the moment of the incident. I do sit A LOT. +8h a day. that's what I do for living. I'm entrepreneur and I do stress  A LOT. This is like a cycle that just pulls you in again and again. We need remain strong. stronger than many thought even possible.

All the best.
-Hanski

[ccmass]

Thanks Padron but I am still afraid to start the finasteride. I have read that some loss of sexual desire happens.. If you had said you saw a gain in the blood clots I would have tried it.. Also the warnings note some symptoms may stay after discontinuing the use... I have a hernia in my left groin area now so I am going to get that looked at and then back on this problem.. My problem appears to be worsening now.. although it is still only after sex like for 2 days I will have blood and clots in my urine.. None in my sperm..  It does burn a bit though.I get little clots a week or so after could be from morning erections.. No where near as large as when I have sex. I'm starting a vitamin called Niacin now and see if it helps .I have also cut my caffeine  .

[Padron]

I was on finasteride for about 6 months and didn't notice any significant improvement. At first I thought it was helping but it turned out to just coincide with my usual pattern of having it for about 2 months and then not having it for about 2 months.


My main urologist says he has several patients who had success with finasteride for treating hematospermia… but a key differentiator is that none of them had it as consistently and as severely as I do.


I have about 3 different urologists (1 main guy and 2 others I rarely see) and a hematologist. All of them have seen my symptoms, but none of them has dealt with a case as consistent as mine over 10 years or more. I point that out because I'm not always sure that people have the same thing that I have. Cystoscopy shows nothing, MRI shows nothing abnormal besides blood clots in bladder (which is to be expected given the condition).


If I was to give you any advice I would say go ahead and try the finasteride for 6 months. Keep detailed notes on you condition and medication during that time. You want to know how you symptoms are reacting so any correlation can be assessed (remember - correlation is not a cause itself.. but it is a cause to investigate).


I also suggest you see a hematologist and get a comprehensive lab done for clotting factors and iron levels. My clotting tests were normal… but it did turn out that I have low iron levels as a result of all this sustained blood loss. This is something most people probably aren't thinking about and I had to get a hematologist before that question was even on the table.


I wish I had a solution to the problem but I feel that there is no single thing to fix. I believe there is something going on with an overactive inflammatory response due to stress, possibly some weak vein walls, and perhaps lifestyle and dietary elements as well. I think in general the more this gets into the medical system the better. I've had to constantly educate my doctors on the specifics of my condition and they always tell me there is nothing like this in their experience.


Good luck with the finasteride. Be cautiously optimistic, and keep detailed records of your symptoms (evernote or a google spreadsheet are two free apps that can help you keep track of things)

[ccmass]

Padron,Im 62 I have had blood and blood clots in my urine after sex for 3 years that I know of.. PSA good bladder biopsy good .. still have it.. its gotten worse the last 2 months.. I use viagra for intercourse.. And have blood after next day etc.. urologist says chronic prostititis.. He gave me Advadart trial and finasteride script.. I was affraid to take it as it said some lean muscle loss happens.. What did you notice.. If it works like you said maybe I should just bite the bullet.. Let me know how you are doing .. Its been a year since your post.

[ccmass]

just wanted to know if you had any other side affects from finasteride.. muscle loss etc. I have a script as I have this problem and I was affraid of side affects. Let me know its been a year since your post? I have ed and take viagra but was thinking this problem may have been causing that as well..

[asianguy824]

Thank you for providing that information. I also had a really similar experience, except the peeing part was not painful, and i have not had feelings of fainting. It happened on and off for me as well, i think the main reasons are rough sex (sometimes its not even rough, its just that the girl is arching her back in a way that kinda bends your penis when you are inside, which will damage it since when your penis is hard, it cannot bend). Usually I will feel the need to pee after sex and then blood comes out and a little blood clot since I believe your body is trying to heal the wound, sort of like scab forming on an outside wound, so when you are peeing, it is just pushing out the cloth that has formed around your wound. This only happens to me after sex. I have no symptoms, I just feel like peeing, it does not hurt, sometimes i only notice when when i look down and it is not pee. So now i am thinking it is physical damage from sex. Maybe drinking/smoking weakens your blood vessels and combined with strenuous sex, will burst blood vessels and it takes time to heal. I am also googling foods/ways to improve healing of blood vessels as I believe for me this is purely a physical wound. I just wanted to add something, thanks for the info. BUT i am still thinking of going to the doctor, more tests never hurt.