Post Date December, 03 2023
Normal male semen should be gray white and gelatinous, but in males with bloody semen, it is generally pink, red, brownish red, or with bloodstains. How do these abnormal semen come from?
There are many reasons for hematospermia, mainly caused by the following reasons:
Seminal vesiculitis: The common symptom of seminal vesiculitis is blood semen. In addition, some people may also experience urinary tract irritation symptoms such as painful urination, frequent urination, urgency, and incomplete urination, as well as pain during ejaculation, as well as swelling and pain in the perineum, testicles, and external genitalia.
Prostatitis: prostatic fluid is the main component of semen. When the current gland is inflamed, blood sperm can also appear, which is characterized by blood colored semen.
Genital vesiculitis: Chronic seminal vesiculitis can easily lead to testicular hypertrophy, difficulty urinating, and pain during ejaculation. Due to congestion and edema of the seminal vesicle tissue, the mucosa is prone to rupture and bleeding, especially in the process of marital life, where hematospermia is more likely to occur.
Male friends with hematospermia can go to a regular hospital for examination and treatment in a timely manner to avoid missing the opportunity for treatment and causing unnecessary harm to themselves.
In general, hematospermia caused by seminal vesiculitis or prostate disease is more common. Here, let's take seminal vesiculitis as an example:
Seminal vesiculitis is a disease often caused by bacterial infections.
Escherichia coli
Klebsiella pneumoniae
Proteus and Pseudomonas
…………
The infection route includes retrograde infection through the urethra, where bacteria invade the seminal vesicles from the urethral opening and vas deferens; Inflammation of the testes and epididymis, where bacteria invade the seminal vesicles through the vas deferens; When adjacent organs such as the prostate, rectum, and bladder are infected, bacteria can directly spread to the seminal vesicles; Infectious lesions in the body, such as boils, carbuncle, tonsillitis, and gingivitis, are transmitted by bacteria through the bloodstream to the seminal vesicles.
In addition, any factor that causes congestion of the prostate and seminal vesicles, such as excessive drinking, cold, excessive libido, perineal injury, or prolonged compression, can trigger the occurrence of acute seminal vesiculitis.
What items should be checked for the diagnosis of hematospermia?
Blood sperm test items:
Prostate examination: Transrectal examination of the prostate for swelling, tenderness, and nodules. It is worth noting that sometimes when massaging the prostate to get prostatic fluid, red blood cells can also appear in prostatic fluid due to excessive force, which does not mean that there must be pathological changes in the prostate (so it is better for professionals to take samples).
Routine semen examination: Check if there are white blood cells in the semen. If there are white blood cells, it indicates inflammation of the prostate and seminal vesicles. If the number of white blood cells exceeds 20 per high field, it is considered pyospermia. Sometimes, due to the high number of red blood cells in semen, it is difficult to distinguish white blood cells. Semen can be checked after the blood and semen have stopped. Sometimes, if the abstinence time is too long, the seminal vesicles will become congested for a long time, and white blood cells in the semen will also increase.
Seminal vesicle fluid examination: Massage the seminal vesicles after urination, collect the seminal vesicle fluid for examination. When the seminal vesicles bleed, the seminal vesicle fluid may appear old brown liquid. Inflammation of the seminal vesicle, with an increase in white blood cells in the seminal vesicle fluid.
Cystoscope: cystoscope can be performed for severe hemospermia or recurrent hemospermia. The main observation is whether there is hypertrophy in the seminal vesicle, and whether there are varicose veins and tumors in the posterior urethra.
