I have a friend who complained he is victims of hematospermia. He explained it is usually reported brownish to red discoloration of the ejaculate as he noticed. He found out that more than 90% of patients have no prior genitourinary symptoms or significant factors in their history. He found himself in this group, so he does not know what to do next. Can you explain hematospermia to me, because I would like to talk to him and tell him not to be so much worried about this?
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The ages who are most affected with hematospermia range from 14 to 75, with an average age in the late 30's. It is common condition to affect men between the ages of 30 and 40. About 90% of men who have had hematospermia will have repeated episodes of this problem. Definition is that hematospermia is the presence of blood in the seminal fluid. The etiology is not specifically known and is poorly understood, so I cannot tell you anything exactly. Most commonly, it results from nonspecific inflammation of the urethra, prostate or seminal vesicles. In about 50% of patients the cause of hematospermia is not clearly understood or known, so there is no way for me to explain this. You need to know that semen originates from multiple organs, including the testicles, epididymis, vas deferens, seminal vesicles, and prostate. Most of the semen comes from the seminal vesicles and prostate and logically form those parts the most hematospermia cases originate. Cancers that most patients are thinking of are rarely causative and account for a very small percentage of hemospermic diagnoses. Your friend should visit a doctor if bloody semen is accompanied by any pain in the area between genitals and anus, or by a frequent and urgent need to urinate, and if he is more than 50 years old.
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