What should I do when I notice blood in semen for the first time?

Blood in semen during the first occurrence is usually associated with factors such as frequent sexual activity, sudden resumption of sexual activity after prolonged abstinence, excessive fatigue, heavy alcohol consumption, prostatitis, seminal vesiculitis, or urethral stones. It is recommended to visit a hospital to determine the underlying cause and follow medical advice for treatment. Specific analysis is as follows:

1. Frequent sexual activity or sudden resumption after prolonged abstinence: Excessively frequent sexual activity may lead to local congestion in the reproductive system; sudden resumption of sexual activity after long-term abstinence may cause dramatic changes in seminal vesicle pressure. Both situations can result in capillary rupture and blood in semen. This may be accompanied by mild genital discomfort or pain. It is advised to adjust the frequency of sexual activity and avoid excessive stimulation.

2. Excessive fatigue or heavy alcohol consumption: Overexertion or excessive drinking may reduce the body's immunity and cause local congestion in the reproductive system, potentially leading to blood in semen. Symptoms may include general fatigue, low energy, and genital discomfort. Patients are advised to get adequate rest, avoid overexertion, reduce alcohol intake, or quit drinking altogether.

3. Prostatitis: Bacterial or viral infections may cause prostatitis, resulting in congestion, swelling, and even bleeding in prostate tissue. Symptoms may include frequent urination, urgency, painful urination, and perineal pain. Patients should take medications such as levofloxacin tablets, ciprofloxacin hydrochloride tablets, or amoxicillin tablets under a doctor’s guidance to aid recovery.

4. Seminal vesiculitis: Inflammation of the seminal vesicles can cause congestion and swelling of the vesicle walls, leading to capillary rupture and bleeding. Symptoms may include painful ejaculation, reduced semen volume, frequent urination, and urgency. Patients are advised to take medications such as levofloxacin hydrochloride capsules, doxycycline hydrochloride, or minocycline hydrochloride under medical supervision to alleviate symptoms.

5. Urethral stones: As urethral stones move through the urinary tract, they may scratch the urethral mucosa, causing bleeding. Symptoms may include urethral pain, difficulty urinating, and hematuria (blood in urine). For smaller stones, treatment under medical guidance may include tamsulosin hydrochloride sustained-release capsules, lithiasis-relieving granules, or lysimachiae herba granules. Larger stones may require surgical lithotripsy.

In daily life, maintaining a balanced diet and consuming adequate vitamins and protein—such as from broccoli and eggs—can help enhance immune function and promote overall health.