Dr. Oraskar

Blood in semen occurs due to a variety of factors. It is also called 'hematospermia.' It mainly affects men after 30 years of age. After 50 years of age, blood in semen is caused due to prostate enlargement. Blood in semen is caused due to injuries, inflammation and blockage near the male reproductive system. Blood in semen can be linked to other diseases which might not be known by the affected person.

What can cause blood in semen?

1. Blood in semen can be caused due to infections, tumors and stones.
2. Abnormal body structure generally due to an autism spectrum disorder can also cause blood in semen.
3. Prostate biopsy (removal of tissues from the prostate region which produces semen) also leads to blood in sperm sometimes. Though this is temporary and heals within three to four weeks.
4. Vasectomy is a procedure done on men, which involves making small holes or slits in the scrotum so that the sperm doesn't flow during ejaculation. This is mainly done to prevent unwanted pregnancy. Sometimes, vasectomy causes blood in semen.
5. It is also caused by infections such as Herpes, Chlamydia and Trichomoniasis.
6. Sometimes, there are kidney stones found in the prostate called calculi, this is the most common reason for blood in semen.
7. Blood in semen can also be caused due to parasitic infection, tuberculosis or chronic liver diseases.

Symptoms of blood in semen:

1. Immense pain during ejaculation.
2. Pain during urination.
3. Acute lower back pain.
4. Low to mild fever.
5. Swelling in the scrotum and testes.
6. Tenderness in the scrotum, testes and groin area.

Diagnosing blood in semen:

1. While diagnosing blood in semen physical examinations are performed. The doctor checks for inflammation, swelling, tenderness and signs of injuries.
2. Sometimes sexually transmitted diseases also cause blood in semen. So, the doctor takes a blood test to see whether you have STD's or not.
3. Urine testing is also performed to see if any bacteria or abnormalities are found in the urine.
4. MRIs, ultrasounds and CT scans can also locate any obstructions in the pelvic area which might be a cause of blood in semen.