Blood in the semen
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.
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
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
- Swollen lymph nodes
- Swollen or tender scrotum
You may need the following tests:
Scott Miller, MD, Urologist in private practice in Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.
This information should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. © 1997- 2007 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.