Hemospermia: causes, signs and treatment in men

Hemospermia is translated from Greek as "blood in semen". Her appearance has always made men anxious, and not without reason. ICD 10 lists 11 diseases of the male genital organs, and almost all of them are accompanied by hemospermia. The described phenomenon is a test for both the patient and the doctor.

What is hemospermia in men?

Hemospermia is a clinical symptom in which blood corpuscles are found in the ejaculate. This condition may go unnoticed for a long time.

This is due to contraceptive methods and options for completing sex: if the act ends with ejaculation inside the partner, then the sperm cannot be examined for additional impurities.

In this case, the woman is more likely to notice bloody discharge from the vagina after intercourse. If ejaculation occurs in a condom or on a girl's body, then the diagnosis of hemospermia is not difficult.

Views

There are two types of hemospermia - true and false. In the first version, the ichor is evenly distributed in the seminal fluid, while it has an intense brown color, because contains destroyed red blood cells. They can be sourced from the prostate, vas deferens, testes, or seminal vesicles.

False hemospermia is characterized by the presence of streaks of fresh blood in the semen, they got into it from the urethra or from mechanically damaged vessels of the head of the penis.

Types of hemospermia have different origins and, accordingly, different treatment tactics.

Why semen comes out with blood: reasons

The etiology of hemospermia is very diverse. This condition is of a transient nature and is a variant of the norm.

The remaining etiological factors are divided into the following categories:

Men over 40 should pay attention to hemospermia first of all, because at this age, the risk of developing oncological and other life-threatening pathologies increases. In young people, it is more likely to be benign, idiopathic.

How does it manifest?

The main manifestation is a change in the color of the ejaculate. Instead of milky white, grayish or yellowish, it turns brown. With false hemospermia, the staining is uneven: streaks or blood clots appear in the semen of a man, they have a scarlet color.

In addition to changes in the visual qualities of sperm, a man may be disturbed by the following unpleasant sensations:

Important: if sperm with blood appeared simultaneously with the above, then this is a reason to immediately seek medical help in order to find and eliminate a possible root cause.

Illness or accident?

Men are always worried when there is blood in the semen. The reasons for this phenomenon can be dangerous to human health and life, and can be benign, accidental. This is due to the rupture of capillaries on the head of the penis.

To get rid of this trouble, it is enough to abstain from sexual intercourse for some time. Also, do not worry about hemospermia if it occurs after transrectal ultrasound. The doctor should warn that this procedure may cause the discharge of bloody ejaculate.

Do I need to see a doctor?

The answer to this question is unequivocal - yes. You should not ignore such changes in the body, even if hemospermia occurs once, then to be confident in your own health, you should undergo a medical examination.

Many infections transmitted by contact can be latent for a long time, i.e. asymptomatic. Prolonged persistence of an infectious agent in the body can cause pathological processes that will be manifested by hemospermia. Their diagnosis is important not only for the carrier of the pathogen, but also for his sexual partners.

Remember: early detection and treatment of a disease increases the chances of maintaining health, saves money and time spent on therapy.

Diagnostics

A complete list of laboratory and instrumental diagnostic procedures includes:

• A spermogram will allow laboratory confirmation of the presence of erythrocytes in the ejaculate. In addition to red blood cells, the semen may contain white blood cells. This will indicate inflammation.
• General urine analysis - normally does not contain cellular elements of blood, bacteria, etc. However, with various diseases, the urine sediment changes, this is called urinary syndrome.
• Clinical blood test - possible manifestations of anemia if semen comes out with blood often. The focus of inflammation in the body will change the leukocyte formula - the number of leukocytes will increase, and their young forms will appear. The paraneoplastic process is characterized by an increase in the erythrocyte sedimentation rate.
• Detection of bacteriuria and an increase in the content of leukocytes in semen and urine will prompt the urologist to prescribe another procedure - their bacteriological examination. It consists in sowing the material on nutrient media in order to identify the pathogen and determine its sensitivity to antibacterial drugs.
• Coagulogram will allow to exclude hemostasis disorders.
• Prostate-specific antigen (PSY) concentration determination is a screening method for detecting prostate cancer. This examination is minimally invasive, it allows you to narrow the diagnostic search and do without expensive and unpleasant instrumental manipulations.
• Transrectal ultrasound will allow visualizing the pathology of the prostate and other glands. If a mass is detected, a biopsy is performed.
• Ultrasound of the pelvic organs and retroperitoneal space - kidneys, ureters and bladder will allow you to see stones, masses in them.
• When ultrasound does not give results, they resort to magnetic resonance imaging and computed tomography.

Can I have sex?

Doctors advise to refrain from sexual intercourse during the examination. If it is established that hemospermia is caused by inaccurate actions in relation to the genitals, then it is also recommended to give a small amount of time, 10-14 days, to restore the capillaries of the head of the penis, in order to avoid a similar situation again.

Treatment of hemospermia: methods and drugs

Treatment of hemospermia depends on the underlying disease. If an infection is detected, then etiological therapy is carried out using antibacterial, desensitizing and anti-inflammatory drugs. When sperm comes with blood due to increased fragility of blood vessels, high blood pressure or blood clotting disorders, the doctor prescribes pathogenetic therapy: in the first case, drugs that strengthen the vascular walls, such as Ascorutin, in the second, antihypertensive therapy, in the third, hemostatic agents - Vikasol , Ditsynon. With hypertension, you will have to take pills throughout your life.

It became possible to treat hyperplasia or prostate adenoma without incisions and a long postoperative period, thanks to such an operation as transurethral resection. The procedure is quick and safe, after which the erectile function is not disturbed.

When the worst forecast, i.e. prostatic adenocarcinoma, it is confirmed, it is possible to save the patient with the help of radical prostatectomy with the removal of the nearest lymph nodes. It is widely believed that oncology is a sentence. However, this is not the case, modern medicine is able to help the patient successfully defeat such a terrible disease.

Prevention

Preventing the appearance of bloody semen lies in the careful conduct of sexual activities and regular preventive medical examinations. Important: men over 40 are advised to visit an urologist-andrologist at least once a year. People with a family history of prostate cancer should have their PSA levels monitored annually. Now a new method of detecting patients predisposed to pathology is being tested - a DNA test of saliva to determine the genes responsible for cancerous degeneration of cells.

Do not forget about the importance of barrier contraception, because, first of all, it is condoms that protect against infections best.