Hemospermia is a condition in which blood is found in the semen. In a normal spermogram, red blood cells should not be detected. Blood in the semen can be the first symptom of diseases of the urinary system or reproductive organs.
Blood in the semen - causes
There are true and false hemospermia. In the true case, there is a lesion of the testicles or prostate gland, and the cause is false defects of the urethra, through which blood is excreted and mixed with the seminal fluid. The appearance of blood in the semen, most often due to the following reasons:
- with inflammatory lesions of epididymis;
- with inflammatory lesion of seminal vesicles;
- with inflammatory or malignant lesions of the prostate.
Most often, the admixture of blood in the semen is not a single symptom of a particular disease. It is accompanied by painful sensations during urination and ejaculation, increased body temperature, erectile function is impaired (sensitivity decreases during ejaculation, ejaculation can be premature).
What does blood in semen mean and how does it manifest?
In men under 40, the single appearance of blood veins in the sperm should not be alarming, since it is physiological. In such cases, the blood in the sperm of men may be a single episode or occasionally repeat. Blood with sperm after sexual intercourse can be with bleeding from the genital tract in women. In such cases it is recommended to conduct a "condom test" and assess the nature of the semen allocated to the condom. Blood clots in the semen are more frequent after 40 years with a malignant lesion of the reproductive organs (testicular and prostate cancer).
Blood in the semen - what to do?
With regular detection of blood in the semen, it is recommended to consult a doctor with the purpose of finding the cause of this condition and prescribing adequate therapy, and maybe even timely surgical treatment. Mandatory studies are:
- the most important is the examination and conversation with the patient, in order to identify complaints and the possible cause of the disease (taking anticoagulants, contact with patients with tuberculosis, trauma and diagnostic manipulations of the urino-genital organs);
- ultrasound is performed to assess the condition of the prostate and exclude the pathology of the urinary system (false hemospermia);
- to perform a spermogram (with inflammatory lesions of the reproductive organs along with a large number of erythrocytes, many leukocytes will be found, and in some cases microorganisms);
- obligatory are general clinical laboratory tests (general blood test, general urine analysis, biochemical blood test and determination of blood coagulation ability);
- definition of prostate-specific antigen.
Blood in semen - treatment
Treatment always depends
The problem of the defeat of the reproductive organs is very delicate, and often men are afraid to consult a doctor with such a problem, but by doing so they only kill the golden time when help can still be provided.