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What could lead to the presence of blood in semen?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 53-year-old male with no previous medical history. For the past two years, I observed my semen to be slightly pinkish in color (now I realized it was due to traces of blood) but I did not pay much attention. Since the last two to three months, I have been seeing blood in my ejaculate specifically if I have sex or masturbate on consecutive days (the second day the amount of blood and redness is much more). If I give a gap of 15 to 20 days then on the first day I do not see any blood but on the second day, it is quite distinct.

I do not feel any sort of pain during or after sex or while masturbation. I do not pass blood in the urine. I do not feel any burning or itching sensation while ejaculating or urinating. I have had no injury in my pelvic area or to my testicles. I do not suffer from diabetes or hypertension. I have been having sex and masturbation two to three times a month. Recently I took Levofloxacin 500 mg once daily for six days thinking if it was due to a urinary infection the antibiotic might help but it has not helped. So far I have not consulted any clinician on the subject.

Please suggest.

Thank you.

Answered by Dr. Ashok Kumar Choudhary

Education:

MBBS

Professional Bio:

Dr. Ashok Kumar Choudhary is a skilled Psychiatrist specializing in andrology, geriatrics, sexology, and general psychiatric care. He focuses on diagnosing and managing mental health conditions, sexual health issues, and age-related psychological concerns. With a compassionate and patient-centered approach, Dr. Choudhary provides personalized care aimed at improving mental well-being, quality of life, and overall health.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

The condition you described is known as hematospermia which means blood in semen. Although, it is considered a benign symptom in men but if for any person above 40 years of age the possibility of carcinoma should be ruled out.

In two-third of the cases, no cause is found and treatment is not indicated. In many of the cases there is no intervention required but with increasing age chance of prostate tumor are high. I request you to visit a urologist as soon as possible. The purpose of visiting urologist is to rule out the possibility of prostate malignancy.

The other common cause of this condition is a sexually transmitted disease. You did not describe anything else in association with blood in semen, so the possibility is very low. In case, if you have any sexual exposure to some unknown or commercial sex worker in the recent past or you are having other symptoms of sexually transmitted disease it is wise to get physician consultation.

I hope this helps you.

Thank you.

Medically reviewed by Dr. Vinodhini J.
Published At January 22, 2020
Reviewed At August 27, 2024

Education:

MBBS

Professional Bio:

Dr. Ashok Kumar Choudhary is a skilled Psychiatrist specializing in andrology, geriatrics, sexology, and general psychiatric care. He focuses on diagnosing and managing mental health conditions, sexual health issues, and age-related psychological concerns. With a compassionate and patient-centered approach, Dr. Choudhary provides personalized care aimed at improving mental well-being, quality of life, and overall health.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Ashok Kumar Choudhary is a skilled Psychiatrist specializing in andrology, geriatrics, sexology, and general psychiatric care. He focuses on diagnosing and managing mental health conditions, sexual health issues, and age-related psychological concerns. With a compassionate and patient-centered approach, Dr. Choudhary provides personalized care aimed at improving mental well-being, quality of life, and overall health.

This doctor is not available for online consultations on the platform anymore.

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