Hello - thanks for asking your question.
There are several considerations. Blood in the semen can be caused by
benignBenign ear cyst or tumor
Benign positional vertigo and
malignantCancer
Gestational trophoblastic disease
Lymphoma, malignant - ct scan
Malignant melanoma
Malignant otitis externa
Melanoma of the eye
Multiple myeloma
Skin cancer, malignant melanoma disordersAdjustment disorder
Anorexia nervosa
Asperger syndrome
Autism
Autoimmune disorders
Bipolar disorder
Bipolar disorder
Bleeding disorders
Borderline personality disorder
Bulimia
Chronic motor tic disorder of the prostate gland, seminal
vesiclesVesicles, spermatic cord, and ejaculatory duct system; urogenital infections; metastatic cancers; and vascular disorders. It normally resolves on its own, but should be evaluated.
Blood in the urine is more concerning. Infection, prostate, bladder, kidney cancers, kidney disorders (i.e. stones), prostatic hypertrophy should all be considered.
Because of your age (>50), I would recommend a cystoscopy and urine cytology to make sure there is no cancer. A kidney ultrasound would evaluate for kidney etiologies.
A referral to a urologist is highly recommended.
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.