Some people accidentally find that their ejaculated semen is red during sex. They are frightened. It is caused by local rapid hyperemia and microvascular rupture during sexual activity. Bloody semen brings panic and anxiety to men, which is unimaginable to ordinary people. It is called Hemospermia in medicine. Blood essence can make men depressed, have no interest in sex life, and even fear sexual intercourse.
The fear of blood essence is mainly due to the influence of traditional understanding. People often think that bleeding is a very terrible thing, especially in semen closely related to men. Therefore, patients repeatedly urgently need doctors to help them immediately "stop" the recurrence of bleeding and often do not pay much attention to the cause of hemospermia.
A little blood in the semen of patients with hematospermia will not cause any harm to their health, but the cause of bleeding should be clear. As long as the life-threatening malignant tumors are excluded, even if other blood sperm are very stubborn and difficult to control, there is no need to worry too much.
There are many reasons for hemospermia, including inflammation of the genitourinary system (
seminal vesiculitis,
Prostatitis, urethritis), trauma, tumor, stone, benign prostatic hyperplasia, etc. The cause of blood essence in most patients is still challenging to be completely clear for a while. However, doctors can preliminarily judge the etiology of hemospermia based on the patient's age and clinical experience.
Etiology of hemospermia
Blood essence is semen with blood. A blood exists in blood vessels. Blood caused by pathological changes in various parts and tissues in semen production and ejection can cause blood essence. It mainly comes from the seminal vesicle, prostate, and posterior urethra.
1. Inflammation
Reproductive system infection is the most common cause of hematospermia. The pathogens of infection include a virus, bacteria, Mycobacterium tuberculosis, and parasitic infection. It can also result from trauma, urethral foreign bodies, and chemicals-common seminal vesiculitis, prostatitis, urethritis,
orchitis, and so on. Stones in the prostate, seminal vesicle, or vas deferens can also cause blood sperm.
2. Obstruction or cyst
After ejaculatory duct obstruction, the proximal duct of the block can expand and expand, resulting in mucosal vascular rupture and bleeding. It is common to have seminal vesicle cyst, ejaculatory duct cyst, seminal vesicle diverticulum, etc.
3. Tumor
A variety of benign tumors of the genitourinary tract can cause hematospermia, such as posterior urethral adenoma, leiomyoma, fibroma, adenomatous polyp, and benign prostatic hyperplasia. Malignant tumors of the bladder, prostate, testis, and seminal vesicle can also cause hematospermia.
4. Vascular abnormalities
Varicose veins in the seminal vesicle, prostate urethra, and bladder neck are the causes of hemospermia. In addition, abnormal blood vessels in the reproductive system can lead to hematospermia, including pelvic arteriovenous malformations, prostate hemangioma, seminal vesicle, and spermatic cord hemangioma.
5. Damage
Most of them are iatrogenic factors, which are common in seminal vesicle injury caused by prostate puncture biopsy, drug injection in the prostate, prostate cancer radiotherapy, transurethral instrument operation, or pelvic surgery. Also, after vasectomy, extracorporeal shock wave lithotripsy of distal ureteral calculi, hemorrhoids injection treatment, etc. In addition, perineal trauma, gonadal trauma, pelvic fracture, etc., can be factors.
6. Systemic factors
Hypertension, blood diseases (lymphoma, thrombocytopenia, leukemia, hemophilia), and anticoagulant abnormalities secondary to liver diseases can cause hematospermia.
Treatment of blood essence
General treatment
The clinical manifestations of blood essence caused by improper behaviors such as excessive sexual life or masturbation, interruption of sexual intercourse, long-term abstinence are generally mild, and most can heal themselves. Patients usually do not need treatment and wait for observation.
Medication
Whether to use antibiotics or other drugs usually depends on the examination results and the doctor's experience. If the examination indicates signs of infection, there is no doubt that appropriate treatment is needed. For those who do not check or indicate apparent infection, doctors often suggest the possibility of infection in combination with the patient's clinical manifestations, such as urethral burning, tingling, frequent urination, perineal pain, and other symptoms choose antibiotics for treatment.
Because seminal vesiculitis is the leading cause of hematospermia, clinical treatment often focuses on seminal vesiculitis. For the treatment of seminal vesiculitis, natural medicine
Diuretic and Anti-inflammatory Pill is also a good choice. It can eliminate the symptoms of blood essence. And it can also treat other reproductive system inflammation, such as prostatitis, epididymal orchitis, etc.
Not all blood essence patients have effective drugs, and some need surgical treatment.