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HomeAnswersUrologyhematuriaAfter COVID vaccination, I have pain while urinating. Help me.

What are the causes of blood in urine and semen after getting the first dose of the COVID vaccine?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At November 28, 2022
Reviewed AtDecember 1, 2023

Patient's Query

Hello doctor,

The day after my first COVID vaccine a year ago, I had a cramp-like pain in my scrotum. I had blood in my urine that day and the next day in my semen. So I went to the doctor, and he did a urine test and said there were little traces of blood, but since my pain was not severe then, he said it was probably nothing serious and might be a reaction from the vaccine. The doctor checked my kidneys with an ultrasound, but everything seemed fine. Then, three weeks ago, I had nitrite in my urine. So I took the tablet Cotrim-Forte-Ratiopharm 800 mg/160 mg, two pills per day for five days. The pain went almost entirely away after this treatment, but now, a few weeks later, it started again. Sometimes after ejaculating, the trouble worsens for a few days and usually starts with bladder and urethra pain after urinating. So should my prostate be checked?


Welcome to icliniq.com.

I read your query and can understand your concern. Your symptoms are consistent with chronic prostatitis, the inflammation of the prostate gland, which requires treatment with long-term antibiotics and alpha-blockers. I suggest you take a semen culture, take tablet Levofloxacine 500 mg once daily and tablet Tamsulosine 0.4 mg once at night for one month, and tablet Celecoxib 200 mg twice daily for a month. However, please consult a specialist doctor, discuss with them and start taking the medications with their consent.

I hope this helps.

Thank you and take care.

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

Dr. Samer Sameer Juma Ali Altawil
Dr. Samer Sameer Juma Ali Altawil


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