What causes repeated ejaculation of thick blood?

Question

Hello doctor,

I ejaculated thick, bloody semen again. The first time this happened was about a week ago. I went to the doctor immediately, and they gave me a painful shot in my hip. After that, I felt fine. I was masturbating when it happened again. There were no signs of blood in my semen during the past week, despite masturbating daily and checking each time.

It seemed like everything had cleared up, but now it has happened again, and this time there was a significant amount of blood. I have not had any unprotected sex since the shot. No other symptoms, and my vital signs are normal.

This also happened a few years ago. At the time, I thought it might have been an STI and got treated accordingly. Recent kidney and bladder tests came back normal and healthy. What should I do now?

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I am really sorry this is happening. This sounds frightening and painful, and I can understand why you are feeling alarmed.

What you are describing is hematospermia, which is the presence of blood in semen. While it is often benign, the reappearance of thick blood after treatment, especially after a painful injection (possibly an antibiotic or anti-inflammatory), needs to be taken seriously, particularly since it is recurring and now more intense.

Here is what you should know and do:

You must go back to the doctor or a hospital as soon as possible, preferably a urologist, because:

Recurrent blood in semen could be from infection, inflammation, trauma, or a structural issue in the prostate, seminal vesicles, or urethra.
Thick blood and large volume raise concern for something more than just a minor infection.
That injection likely treated symptoms temporarily (possibly for prostatitis or sexually transmitted infection-related inflammation), but the underlying issue may not be resolved.

While waiting to see a doctor:

Stop all sexual activity, including masturbation, until you are fully evaluated.
Monitor for other symptoms: burning with urination, pain with ejaculation, fever, lower abdominal or back pain, blood in urine, etc.
Bring medical records or let your doctor know what injection you received, the name of the drug, dosage, and any tests done before.

Most importantly:

Do not ignore this. Even though it is not always dangerous, when it recurs like this, especially after a recent treatment, it needs further tests like urine analysis and culture, STI testing, PSA (prostate-specific antigen) if you are older, and prostate exam or ultrasound.

You have already done the right thing by seeking care before. But this recurrence means the issue has not yet been fully treated.

I hope this helps you.

Thank you.

What causes repeated ejaculation of thick blood?

Blood in semen?