What department should I visit for blood in semen?

In most cases, hematospermia (blood in semen) warrants a visit to the Department of Urology.

When hematospermia occurs, patients should consult a urologist. Clinically, hematospermia strongly suggests seminal vesiculitis. Seminal vesiculitis is closely associated with prostatitis and often develops concurrently with or subsequent to it. The primary route of infection is retrograde infection via the urethra; however, chronic congestion and edema of the prostate and seminal vesicles—induced by frequent sexual activity or excessive masturbation—may also predispose individuals to secondary infection. Clinically, seminal vesiculitis predominantly affects young and middle-aged adults with active sexual lives. Common causative pathogens include Escherichia coli and Proteus species.

Upon diagnosis of hematospermia, patients may appropriately take oral antibiotics for treatment, with a minimum treatment duration of two weeks. During therapy, patients should follow a light, nutritionally balanced diet, avoiding spicy, irritating, and cold foods. Sexual activity must also be strictly prohibited.