Blood in semen causes: The 7 causes of haematospermia

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Blood in your semen, also known as haematospermia, is normally nothing serious but unpleasant nonetheless. It could be something serious and may need to be treated, so it’s important to identify the cause with your GP. Express.co.uk reveals the seven possible causes of blood in semen.

Blood in semen when you ejaculate might shock you and cause your mind to race when you notice it, but try not to worry.

The NHS site explains that the problem, called haematospermia, is usually only temporary and the cause is rarely anything serious.

You should always see your GP for a diagnosis if you have haematospermia, but there are a few common causes that could be behind it.

The seven causes of haematospermia

According to the NHS site, blood in semen is probably caused by one of seven things:

• vesiculitis – inflammation of the glands that produce most of the fluid in the ejaculate (the seminal vesicles)
• seminal vesicle cysts – small, fluid-filled sacs in the seminal vesicles
• prostatitis – inflammation of the prostate gland, where semen is made
• recent urological surgery – such as a prostate biopsy, cystoscopy or vasectomy
• sexually transmitted infections (STIs) – such as genital herpes, chlamydia, gonorrhoea or trichomoniasis

While these things sound scary, these problems are generally not serious and will get better on their own without treatment or after antibiotics or anti-inflammatory painkillers.

You should not assume that one of the above is behind your problem, always check with your GP.

There could be more serious problems such as severe high blood pressure, a blood clotting disorder, cancer (prostate, testicular and bladder cancer to name a few) or seminal vesicle calculi.

Your GP will determine whether or not the cause is seriously based on how many times this has happened, other symptoms, your age and your medical history.

To check the cause of the problem, your GP may check your blood pressure, examine your genitals, tummy and rectum, and run some urine and blood tests.

More often than not, if you’re younger than 40 and this has only happened once or twice, you should not need a hospital referral (unless the tests indicate a serious underlying condition).

However, if you’re over 40, this has happened more than a couple of times or tests suggest a potentially serious underlying cause, you’ll probably be referred to a urologist.

The treatment for the haematospermia depends on the cause, but normally the problem will resolve by itself.

If a cause is identified you will be offered a specific treatment such as antibiotics if it is an infection.

If the cause is a cyst, it may need to be drained with a needle.

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