Blood in semen is medically known as haematospermia. Haematospermia is most commonly caused by a prostatic venous bleed tough it could originate from the testicles, epididymis, vas deferens, seminal vesicles or urethra as well. Other and related causes include infections (bacterial, viral, fungal, parasitic)/ inflammations (50%), calculi, post inflammatory cysts, uncontrolled hypertension, diverticuli, strictures, trauma, growths, bleeding disorders malignancies (4-13%) etc. Multiple causes may be involved in a few cases. Though the condition is self limiting in most cases; if recurrent, a thorough investigation is often implicated to look for causes and more particularly to rule out the more serious causes. Hence if it recurs, it is advised to get this evaluated by a urologist for an accurate diagnosis and appropriate management.
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