What Should You Do If There Is Blood in the Semen?

Sperm are a fundamental component of life; abnormal sperm can impair normal fertility, and sperm abnormalities encompass a wide range of conditions. So, what should one do if blood is present in the semen?

What to Do If Blood Is Present in the Semen

The presence of blood in semen—known as hematospermia—may result from conditions such as seminal vesiculitis or prostatitis, both of which are inflammatory disorders of the male reproductive system. These conditions can severely compromise sperm quality and male fertility, potentially leading directly to infertility. In patients with habitual masturbation, excessive frequency may also contribute to this symptom. It is therefore recommended that patients discontinue masturbation promptly, regulate its frequency, and seek timely evaluation at a reputable hospital. If seminal vesiculitis is confirmed as the underlying cause, treatment with levofloxacin tablets is advised.

Hematospermia primarily arises from seminal vesiculitis or the presence of calculi (stones) within the seminal vesicles. Seminal vesiculitis indicates an internal infection—typically bacterial—which causes congestion, edema, and subsequent capillary rupture in the seminal vesicle mucosa, allowing red blood cells to enter the semen and resulting in visible blood during ejaculation.

If a patient experiences significant pain during ejaculation, oral antibiotics should be administered for symptomatic treatment. Suitable options include quinolone-class antibiotics (e.g., levofloxacin) or cephalosporin-class antibiotics. A typical course lasts two weeks and generally yields effective results. If calculi are present within the seminal vesicles, surgical exploration and removal are required; otherwise, persistent friction between the stone and the vesicular wall may lead to chronic, refractory hematospermia. We hope this information proves helpful to you!