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blood in sperm and in urine after ejaculation

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
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Avatar universal
I have had this problem for about 10 years.  It occurs every 2-3 years for 1-2 months, then disappears.  I have been through all of the tests with urologists with no cause found.

This most recent time I began talking Saw Palmetto (available in vitamin isle) and within a week my symptoms ceased.  I have no idea if it was the Saw Palmetto that caused my symptoms to stop, but the timing seems quite promising.

Just wanted to share my experience with the group...
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Avatar universal
I too have the exact same symptoms and have had on and off for the last ten years too be honest I have stopped doing most of the same tests over and over again with no diagnosis but if anyone does have the answer I am sure we would all like to hear it!!
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Avatar universal
I took a photo of a HUGE clot using a flash. Interestingly the clot becomes an almost transparent jelly under that bright light.


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Avatar universal
Alcohol & viagra .seem to spark my symptoms of blood after sex so much that the clot blocks my urine and I have to go to emergency room to get a catheter .urologist can't give me any concrete reason why it reoccurs. I'm 49 years old healthy and this has been going on for the last 4 years cycostopy shows no abnormalities , it's definitely taking the excitement out of sex life , it's like rolling the dice or playing roulette . Give me an answer if you hear anything!
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Avatar universal
I have posted a couple of times before as well.

The stricture was what I thought too but my flow was fine even though I have a split urine flow sometimes. They didn't see any blockage just scar tissue. First they thought that if it was a stricture that they would cut it but then there is the chance of bleeding again and scar tissue builds up and you get blockage and then they cut it and you bleed again and get scar tissue etc, never ending story.

the last thing they said was this:

"An open urethroplasty may be done for longer strictures. This surgery involves removal of the diseased part followed by reconstruction. The results vary depending on the size and location, the number of treatments you have had, and the surgeon's experience."

Not for a stricture but just to give me a new urethra, I'm not in favor of this as it is a severe operation.

I just keep calm and don't do it rough anymore or multiple times, it ***** but I'm blood free now at least for 7 months and I had it very badly!
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Avatar universal
I'm glad to share what I have found out about what I think many of us are talking about, but not all.

My symptoms have been, at different periods of time over the course of years, blood in urine (bright red and dark red), blood discharge after urinating or ejaculating and then blood in urine after ejaculating, blocked urine stream, and passing/urinating what seemed to be blood clots but it was more likely scar tissue.

There may have been different things going on at different times due to different causes. However, I have come to a good conclusion that in ways addresses the concerns of most guys on here and possibly all of my symptoms. After reading this post I felt like I was FINALY beginning to understand what was going on:

"hi all,
i have had this problem 4 years ago,i am doctor-GP the cause is haemorrhage from some blood viscles inside the prostate,this cause hemospermia and the lower sphincter of urethra will prevent the blood to go down so will get into our bladder,and so haematuria come.
the best non-surgical solution is to stop sex and erection for 2week at least.i know this is difficult..or u can just make a very quick sex.i mean my last sex was 4 minuts long only.that is very bad for the girl ,cause she didn`t start yet. or you can go under the knife and make repair operation.which is not easy or free of complications.  

Then, I came upon talk of a condition called "urethral stricture" and began to research it. It's basically when there is a blockage in your urethral from scar tissue resulting from either injury, or from infection (STD's, UTI's). As I gathered from wikipedia (can you believe it's been there the whole time? we just didn't know what to look for),  "The body's attempt to repair the damage caused by the injury or infection creates a buildup of scar tissue in the tract resulting in a significant narrowing or even closure of the passage. Instrumentation of the urethra, particularly before the advent of flexible uro-endoscopy, was (and remains) an important causative event.
Short strictures in the bulbar urethra, particularly between the proximal 1/3 and distal 2/3 of the bulb, may be congenital. They probably form as a membrane at the junction between the posterior and anterior urethral segments. It is not usually noticeable until later in life, as it fails to widen as the urethra does with growth, thus it only impedes urinary flow relative to the rest of the urethra after puberty. Moreover, the patient will often not "know any different", and so will not complain about poor flow.
The urethra runs between the legs very close to the skin, leaving it vulnerable to trauma. Simply falling off a bike and hitting between the legs may result in the formation of scar tissue within the urethra tract. This condition is often not found until the patient has problems urinating because these are painless growths of scar tissue."

http://en.wikipedia.org/wiki/Urethral_stricture


Symptoms are:

Blood in the semen
Bloody or dark urine
Decreased urine output
Difficulty urinating
Discharge from the urethra
Frequent or urgent urination
Inability to urinate (urinary retention)
Incontinence
Painful urination (dysuria)
Pain in the lower abdomen
Pelvic pain
Slow urine stream (may develop suddenly or gradually)
Spraying of urine stream
Swelling of the penis

Causes are:

Urethral stricture may be caused by inflammation or scar tissue from surgery, disease, or injury. It may also be caused by pressure from an enlarging tumor near the urethra, although this is rare.

Other risks include:

A history of sexually transmitted disease (STD)
Any instrument inserted into the urethra (such as a catheter or cystoscope)
Benign prostatic hyperplasia (BPH)
Injury or trauma to the pelvic area
Repeated episodes of urethritis
Strictures that are present at birth (congenital) are rare. Strictures in women are also rare.

A physical examination may show the following:

Decreased urinary stream
Discharge from the urethra
Enlarged (distended) bladder
Enlarged or tender lymph nodes in the groin (inguinal) area
Enlarged or tender prostate
Hardness (induration) on the under surface of the penis
Redness or swelling of the penis
Sometimes the exam reveals no abnormalities.

Tests include the following:

Cystoscopy
Post-void residual (PVR) volume
Retrograde urethrogram
Tests for chlamydia and gonorrhea
Urinalysis
Urinary flow rate
Urine culture
Treatment
The urethra may be widened (dilated) during cystoscopy by inserting a thin instrument to stretch the urethra while you are under local anesthesia. You may be able to treat your stricture by learning to dilate the urethra at home.

If urethral dilation is not successful or possible, you may need surgery to correct the condition. Surgical options depend on the location and length of the stricture. If the stricture is short and not near the urinary sphincter, options include cutting the stricture via cystoscopy or inserting a dilating device.

An open urethroplasty may be done for longer strictures. This surgery involves removal of the diseased part followed by reconstruction. The results vary depending on the size and location, the number of treatments you have had, and the surgeon's experience.

In cases of acute urinary retention, a suprapubic catheter may be placed as an emergency treatment. This allows the bladder to drain through the abdomen.

There are currently no drug treatments for this disease. If all else fails, a urinary diversion -- appendicovesicostomy (Mitrofanoff procedure) -- may be done. This allows you to perform self-catheterization of the bladder through the wall of the abdomen.

All of this information and references is here:
http://www.nlm.nih.gov/medlineplus/ency/article/001271.htm

ONE FACTOR THAT WAS PRESENT ALMOST EVERY TIME WAS EXCESSIVE DRINKING OF ALCOHOL. My thinking is that the alcohol breaks down the scar tissue due to excessive drinking and the urine passes it, which looks like blood clots or may very well be just that. Perhaps also, your veins and blood vessels are weakened when you drink heavy and when you get an erection a vessel pops at a point that the semen does not pass when you ejaculate, but when you urinate, urine passes those blood clots that were formed from the leaking blood and pushed into your bladder get passed as described by aym0ad in his post above.

I hope this helps everybody, even if it is a piece of the puzzle. I know how you feel. This absolutely *****! It also ***** that many doctors seem to not know about this as all of us are mentioning they go through multiple doctors and run all types of tests, but don't get anywhere.
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