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Blood in the semen

Semen - bloody; Blood in ejaculation

Blood in the semen is called hematospermia. It may be in amounts too small to be seen except with a microscope, or it may be visible in the ejaculation fluid.

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Blood in semen

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Causes

Most of the time, blood in the semen is caused by swelling or infection of the prostate or seminal vesicles. The problem may occur after a prostate biopsy.

Blood in the semen may also be caused by:

Often, the cause of the problem cannot be found.

Sometimes, the visible blood will last several days to weeks, depending on the cause of the blood and if any clots formed in the seminal vesicles.

Depending on the cause, other symptoms that may occur include:

Home Care

The following steps may help ease discomfort from a prostate infection or urinary infection:

When to Contact a Medical Professional

Always call your health care provider if you notice any blood in your semen.

What to Expect at Your Office Visit

The provider will perform a physical exam and look for signs of:

You may need the following tests:

Related Information

Urination - painful
Scrotum
Fever

References

Gerber GS, Brendler CB. Evaluation of the urologic patient: history, physical examination, and urinalysis. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 1.

Kaplan SA. Benign prostatic hyperplasia and prostatitis. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 129.

O'Connell TX. Hematospermia. In: O'Connell TX, ed. Instant Work-ups: A Clinical Guide to Medicine. 2nd ed. Philadelphia, PA: Elsevier; 2017:chap 30.

Small EJ. Prostate cancer. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 201.

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Review Date: 8/26/2017  

Reviewed By: Jennifer Sobol, DO, Urologist with the Michigan Institute of Urology, West Bloomfield, MI. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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