Haematospermia: Symptoms, Causes, And Treatment

It is common to experience blood in the semen after some medical procedures. 

Sambhav Kumar
Written by: Sambhav KumarUpdated at: Dec 01, 2022 16:38 IST
Haematospermia: Symptoms, Causes, And Treatment

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Medically known as haematospermia, blood in semen can affect men of any age group. Although, it is more commonly seen in men in the age group of 30 to 40 years.

Semen consists of sperm and fluids that are released by the prostate and other glands. Semen follows a particular path before ejaculation. Problems occur when certain material breaks the 

blood vessels, and the ruptured vessels leak blood into semen, urine, or both.

Blood In Semen: Causes

Blood in the semen is usually not a serious condition. However, medical evaluation may be needed for men over 40. Evaluation and treatment may be necessary for men who:

  • experience associated symptoms while ejaculating or urinating
  • experience recurrent haematospermia
  • are at increased risk of bleeding disorders, cancer, or other medical conditions

Are There Any Symptoms Of Blood In The Semen?

This medical condition can appear different for each person. The amount of blood in semen can also vary from just a drop to enough blood to make semen look bloody. This amount varies depending on the cause of the bleeding.

  • Along with blood in the semen, you may also experience:
  • Pain while urinating and/or ejaculation
  • Blood in urine
  • Tenderness in the groin area
  • Swelling or tenderness in the scrotum
  • Lower back pain

What Are The Possible Causes Of Blood In semen?

Inflammation or Infection

This is the most commonly cited reason for blood in the semen. Inflammation or infection of any of the glands, ducts or tubes that produce and move semen may result in the presence of blood. 

Blood vessel damage

All delicate structures contain blood vessels, including the prostate gland and the tubes that carry sperm. If these structures are damaged, it can result in blood in the semen.

Medical procedures or trauma

It is common to experience blood in the semen after some medical procedures. For example, after a prostate biopsy, some men may temporarily experience blood in the semen.

Some medical procedures that treat urinary problems can also cause mild trauma, which can lead to blood in the semen. Usually, this bleeding disappears after a few weeks of the procedure.

Physical trauma to the sex organs, pelvic fractures, overly vigorous masturbation or sexual activity after an injury to the testicles can also cause blood in the semen.

The tubes and ducts of the reproductive tract are more likely to be blocked. In some cases, these blockages can cause blood vessels to break and small amounts of blood may leak into the semen.

When To See The Doctor?

If you have a history of sexually transmitted infections or cancer and then you experience blood in semen, you should see a doctor.

If you are over the age of 40, you are at a higher risk of developing diseases such as prostate cancer. So it is better that you seek medical help as soon as you notice blood in your semen.

If you are under 40 years of age and you do not have any other related symptoms, you should wait for a few days to see if the bleeding goes away on its own. If it doesn't, see your doctor.

What Treatment Options Are Available For Blood In Semen?

If your symptoms are mild, the doctor may advise you to give it for a few days till your body treats the condition. However, if the cause requires medical treatment, a doctor can design a plan based on your symptoms, the cause, and the amount of blood in your semen.

Home treatments

If you experience mild symptoms that may be due to trauma or injury, your doctor may advise you to rest so that your body can heal on its own. For example, if you notice swelling around your groin area, you can apply an ice cube wrapped in a clean cloth to the affected area.

Most cases of blood in semen usually get better on their own. However, if your symptoms do not improve in a few weeks, speak with your doctor for further consultation.

Medical Treatment

If the condition results from an infection, a doctor may prescribe antibiotics. If you experience swelling in your groin area, the doctor may also prescribe anti-inflammatory medications.

If you have blockages in your genital tract, you may need surgery.


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