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Urologic Cancers  (Expert Forum)
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Blood in semen
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Lefrak Institute for Robotic Surgery and Prostate Cancer New York - NY
This forum is for quesitons about: Abdominal Pain, Anemia, Back Pain (lower back), Biopsy, Bone Scan, Bladder Cancer, Blood in Urine, Bone Pain or Tenderness, Colon Cancer, Cystoscopy, Ejaculation Pain, Genetic or Other Markers, Incontinence, IVP, Kidney Cancer, MRI of Abdomen, Penis Cancer, Radiation Therapy, Renal Pelvis Cancer, Renal Scan, Robotic Surgery, Testicular Cancer, Ultrasound, Ureter Cancer, Urinalysis, Urinary Difficulties.

Blood in semen

by BigAl1965, Oct 22, 2007 10:37AM
I was seen a few years back for blood in the semen.  My PCM gave me antibotics and it went away.  About a year ago it started again and went thru prostate testing and nothing.  Giving antibotics and it went away but then came back. I was told hermaspermia is not very common but not health threatening either.  I have been in a monogamous relationship with my wife for 7 years.  prior to that I was a typical male and did some stupid things and contracted STD's on two occassions.  They did the swab testing and and antibotics and I was good to go.  About a year ago I was having alot of pain in the kidneys and penis.  Although I was in a monogomous relationship they wanted me tested for STDs.  The "intern" used the swab inside the penis not once but twice.  The second time caused bleeding.  Ever since It is a 50/50 shot whether there will be blood mixed in my semen.  Was something damaged?  Is there tests that can be done other than a camera into the penis.  I'm a bit leary of putting anything back up in there, if you can understand my leariness.  Any help is appreciated.

by Ash Tewari, MD, M.Ch., Nov 30, 2007 02:15PM
To: BigAl1965
Blood in the semen is known hematospermia. It can have many causes. These include; lesions of the prostate; inflammation and/or lesions of the urethra; lesions of the seminal vesicles.

Treatment for hematospermia should be age dependent, as the condition, could portend GU malignancies (prostate cancer). A urinalysis and culture would be appropriate in determining the presence of a bacterial infection and/or blood in the urine. This would be a starting point in your treatment plan.

Best,

Ash Tewari, MD
Member Comments (3)

by RickLines, Nov 07, 2007 12:06AM
I too have just now experienced a bit of blood in my semen! It is quite alarming as this is my first time seeing this. I have a relationship with a woman and see her only on weekends, so sometimes Mary-Palmer has to come to the rescue and this was the occassion of which I noticed this. There was no pain associated with this experience other than the strain of the orgasm, which didn't seem painful, just pleasurable...if you understand what I mean. Is this just normal for some men reaching ages over 45?

by jedispider, Nov 10, 2007 09:24PM
u have prostatitis just a regular inflammated prostate due to an std infection that was treated late.

by QuestionGuy65, Oct 05, 2008 01:27PM
A related discussion, Blood in Semen was started.
Continue discussion
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