Blood in Semen or Hematospermia

Pelvis | Urology | Blood in Semen or Hematospermia (Symptom)


Hematospermia, a condition characterized by the presence of blood in semen, is usually a benign and idiopathic symptom, but in some cases can occur due to medical problems such as a urethral stricture, infection of the prostate, or a congenital bleeding disorder.


Hematospermia can occur transiently after surgical procedures such as a prostate biopsy. Hematospermia is not always noticed, therefore it is difficult to make estimates of its incidence.

The following conditions have been reported in association with hematospermia: benign or malignant tumors of the prostate, bladder, testes, or seminal vesicles, infections including, but not limited to, chlamydia, herpes, cytomegalovirus, and trichomoniasis, inflammation of the prostate called prostatitis, of the epididymis known as epididymitis, or of the urethra, urethritis, calculi in the seminal vesicles or prostate, polyps in the urethra, ejaculation duct obstructions, metastatic cancer located in the genitourinary system, cysts, hemorrhage, or other abnormalities in the seminal vesicles.

Diagnosis and Treatment

The symptoms that accompany blood in the semen may be any of the following, depending upon the cause : painful urination, pain with ejaculation, blood in urine, lower back pain, fever, tenderness in the testes and/or scrotum, swelling in the testes and/or scrotum, swelling or tenderness in the groin area.

Treatment of blood in the semen is directed toward the underlying cause if a cause has been found.