Thank you for your question. From your description you are experiencing blood in your semen or hematospermia.
Hematospermia, is a fairly common urologic symptom. Understandably, the sight of blood in semen is alarming. While, hematospermia can be associated with malignant disease, there are a host of causes. These include:
Inflammation or infection
Inflammation of any of the organs, glands, or ducts involved in the production or storage of seminal fluid can lead to hematospermia. These include the prostate, urethra, epididymis, etc. In turn, inflammation can be caused by irritation or trauma; stones or calcifications, infection, etc. Herpes, gonorrhea, and chlamydia, have also been implicated in hematospermia.
Obstructed ducts near can cause nearby blood vessels to rupture.
Urologic tumors, prostate, testis, can also cause hematospermia.
Biopsies or other medical procedures can cause trauma resulting in hematospermia.
Followup with a urologist is recommended. Some relevant questions to keep in mind would be 1) when and how did you notice blood in your semen? 2) how many episodes have you had? 3) have you had any tests done recently 4) what medications are you currently (or recently) taking? 5) are there other symptoms you are experiencing (fever, weight loss, pain, urinary frequency)?
Best of luck,
Ashutosh (Ash) K. Tewari, MD
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