I found blood in my semen! Will you “die of sperm”

At the moment you found blood in your semen, did you take a deep breath and did a few words quickly float through your brain –


“It’s over, am I going to die?” Then you may start to sigh in pain: tragedy, the money is not yet spent, the person is dying.


Don’t be nervous yet, blood in semen is not as terrible as you think.

What’s wrong with blood in semen?


Semen is made up of sperm and seminal plasma. Seminal plasma nourishes, transports sperm and stimulates sperm motility.


Seminal plasma is the secretion of the male accessory sex glands, of which 60% comes from the seminal vesicle gland, 30% from the prostate gland, and about 10% from other accessory sex glands.


If there is blood in semen, it can be judged as hematospermia, which is light red, brownish red, dark red or soy sauce color depending on the amount of bleeding and the newness of the bleeding time.

From which part of the semen does the blood actually come?


The seminal vesicles, prostate, testicles, epididymis and urethra are all suspected, and hematospermia can occur from simple inflammation to malignant tumors.


Seminal vesiculitis is the most common cause of hematospermia. The seminal vesicle mucosa has a rich layer of tiny blood vessels. When the seminal vesicle is infected and inflamed, the tiny blood vessels become congested, dilate and rupture, enter the semen and are discharged with the semen, which forms hematospermia.



Hemospermia can be seen in men of all ages who are sexually active. In most cases, it can be cured by giving sensitive antibacterial medication. The occurrence of hematospermia can be effectively prevented by staying away from tobacco and alcohol, eating a light diet, eating less spicy and stimulating food, and having moderate sex.


In a small number of patients, hematospermia symptoms recur and are prolonged, developing into intractable hematospermia.


It has been reported in the literature that drug-resistant bacterial infection of the seminal tract, chronic inflammation of the seminal vesicles secondary to stone formation, obstructive dilatation of the ejaculatory ducts or seminal cysts are important causes of intractable hematospermia, and “transrectal prostatic seminal vesicle ultrasound” can help find the cause.

If the cause is still unclear, we can use “transurethral vesiculoscopy”, which can clarify the source of blood under direct vision and remove blood clots or stones in the seminal vesicles at the same time, and the mirror can dilate the ejaculatory duct stenosis and obstruction, which can remove the incomplete obstruction of the ejaculatory duct that causes repeated infections in the seminal tract and leads to recurrence of hematospermia. The factor.


However, it is worth noting that for middle-aged and elderly patients with recalcitrant hematospermia, a comprehensive examination should be performed to be alert for the occurrence of tumors.

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