Can prostatitis cause hematospermia?

In general, prostatitis may present with hematospermia. Hematospermia typically refers to the presence of blood streaks or clots in a man's semen.

Male prostatitis is usually caused by chronic unhealthy habits such as habitual urine retention, or infections due to pathogenic bacteria like Escherichia coli and Staphylococcus. Patients commonly experience symptoms including frequent urination, urgency, painful urination, lower abdominal discomfort, fever, fatigue, and other discomforts. During an episode, the glandular tissues of the prostate and the ducts responsible for secreting prostatic fluid are often stimulated by inflammation, causing the mucosal tissues to become congested. If congestion is severe, blood may leak into the prostatic fluid, resulting in hematospermia.

If a patient is diagnosed with prostatitis, timely treatment under medical supervision is necessary. For mild symptoms, medications such as azithromycin tablets or doxycycline hydrochloride tablets may be prescribed by a doctor. For more severe cases, in addition to following medical advice for medication, comprehensive treatments such as heat therapy and biofeedback therapy can be used alongside pharmacological treatment to relieve symptoms more quickly.

During treatment, patients are advised to get adequate bed rest and avoid heavy physical labor to prevent worsening local congestion. Increasing fluid intake appropriately helps promote urination, thereby facilitating faster elimination of bacteria from the body. The diet should be light and easy to digest—such as millet porridge or vegetable porridge—which supports recovery.