Blood in Semen, ED, Low Ejaculation Content and Force, HVC

[Standby]

I am a 49 year old male. For the past several months I have had blood in my semen whenever I ejaculate. Sometimes a lot and other times just trace. The color can be a bright red, pink or a brownish color. There is no associated pain with this problem. I also have had no problems urinating and there is no blood in my urine. My semen content has also dropped off considerably as well as the force of my ejaculation. I am also experiencing ED (Erectile Dysfunction) issues. On top of this I have HVC (Hepatitis C). I was, but am no longer on a treatment program for the HVC. I am considered a non respondent for current treatments of this genotype virus. Because this is a blood transferable virus my girlfriend and I have stopped having intercourse. As can be imagined, this has taken a huge toll on our relationship. Can the blood from my semen infect my mate with HVC if we have intercourse?  You will undoubtedly recommend seeking a doctor’s care regarding these problems. The underlining issue here is that I have been laid off and unemployed with no benefits or health insurance coverage. Presently, I cannot afford to see a doctor to discuss this problem and have tests performed to isolate and treat this problem(s). I have read many articles in books and online regarding this problem and it sounds as though there is no need for alarm. Please advice.

Thank you. Rich

[Kevin Pho, MD]

Yes, blood in the semen can transmit the hepatitis C virus.  I would suggest some form of barrier contraception (i.e. condoms).

There are various causes of blood in the semen.  They 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.

There is no specific treatment for the majority of patients, and the condition usually resolves spontaneously.  If it doesn't, I would suggest a urinalysis and possible transrectal ultrasound to evaluate the prostate.  

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.

Thanks,
Kevin, M.D.

[kevinmd]

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