What does it mean when ejaculation is accompanied by blood?
Apr 21, 2023
Source: Cainiu Health
Dr. Li Mingchuan
Introduction
Hematospermia may be caused by prostatitis, seminal vesiculitis, seminal vesicle stones, or prostate stones. Depending on the underlying cause, treatment can be guided by a physician using medications such as Qianlie Jindan tablets or Cefuroxime Axetil tablets. If necessary, surgical treatments such as laparoscopic seminal vesiculectomy or open seminal vesiculectomy may be performed.
Blood in semen may be caused by prostatitis, seminal vesiculitis, or seminal vesicle stones, among other reasons. Specific causes are as follows:
1. Prostatitis
Frequent sexual activity, failure to regularly change underwear, and similar factors may lead to prostatitis. During the illness, the prostate may become excessively congested, increasing capillary permeability in the prostate area and resulting in blood-tinged semen. Treatment under a doctor's guidance may include medications such as Qianlie Jindan tablets, Qianlie Jiedu capsules, and roxithromycin dispersible tablets.
2. Seminal Vesiculitis
If prostatitis remains untreated for a long time, it may lead to seminal vesiculitis. After onset, the seminal vesicles may remain congested, and capillaries beneath the seminal vesicle mucosa may rupture, causing hematospermia (blood in semen). Under medical guidance, treatment options include ciprofloxacin hydrochloride, levofloxacin hydrochloride tablets, and cefuroxime axetil tablets.
3. Seminal Vesicle Stones
A lack of proteolytic enzymes in semen may lead to seminal vesicle stones. During ejaculation, contraction of the seminal vesicles can cause the stones to rub against the vesicle walls, resulting in blood in the semen. Some patients may also experience colicky pain. Treatments may include laparoscopic seminal vesiculectomy or open seminal vesiculectomy.
In addition to the above common causes, prostate stones may also be responsible. It is important to seek timely medical evaluation to determine the exact cause and receive standardized treatment under a physician’s guidance.
