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Blood in the semen
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Blood in the semen

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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.

I Would Like to Learn About:

  • 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:

    • Blockage due to enlarged prostate (prostate problems)
    • Infection of the prostate
    • Irritation in urethra (urethritis)
    • Injury to urethra

    Often, the cause of the problem cannot be found.

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

    • Blood in urine
    • Fever or chills
    • Lower back pain
    • Pain with bowel movement
    • Pain with ejaculation
    • Pain with urination
    • Swelling in scrotum
    • Swelling or tenderness in groin area
    • Tenderness in the scrotum
  • Home Care

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

    • Take over-the-counter pain relievers such as ibuprofen or naproxen.
    • Drink plenty of fluids.
    • Eat high-fiber foods to make bowel movements easier.
  • When to Contact a Medical Professional

    Always call your doctor if you notice any blood in your semen.

  • What to Expect at Your Office Visit

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

    • Discharge from the urethra
    • Enlarged or tender prostate
    • Fever
    • Swollen lymph nodes
    • Swollen or tender scrotum

    You may need the following tests:

    • Prostate exam
    • PSA blood test
    • Semen analysis
    • Semen culture
    • Ultrasound of prostate, pelvis or scrotum
    • Urinalysis
    • Urine culture

Related Information

  Urination - painfu...ScrotumFever    

References

Barry MJ, Collins MM. Benign prostate disease and prostatitis. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Saunders Elsevier; 2011:chap 131.

Gerber GS, Brendler CB. Evaluation of the urologic patient: History, physical examination, and the urinalysis. In: Wein AJ, ed. Campbell-Walsh Urology. 10th ed. Philadelphia, PA: Saunders Elsevier; 2011:chap 3.

Small EJ. Prostate cancer. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Saunders Elsevier; 2011:chap 207.

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Review Date: 9/25/2013  

Reviewed By: Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.

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