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bloody semen

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bloody semen

Posted by Sara on September 19, 2003 at 18:52:11:

My husband has written here about his bloody ejaculation. Dr Stoll told him to masturbate everyday, which really isn't a cure. My husband has had tests (blood and culture) and they both came back negative. We had a midnight sex the other night and when he masturbated in the shower that morning, he said his semen was bloody. My concern is that I am 7 months pregnant and can somebody tell me what is this bloody show and will it affect me or the baby?

Re: bloody semen

Posted by Some Info on September 19, 2003 at 19:08:26:

In Reply to: bloody semen posted by Sara on September 19, 2003 at 18:52:11:

Here's some info that I found:
You state in one response that blood in semen is common. I am 62, sexually active and have noticed bloody semen that reappears after a week of abstention. What might be the cause?
-- Thomas Kinnet (, September 15, 1999

We almost never discover the cause of blood in the semen. I think it is most probably due to irritation from concretions (stones) in the ejaculatory duct or seminal vesicle.
-- Harry Neuwirth, M.D

The following is from

What is going on in the body?

Most cases of blood in the semen are from unknown causes. It usually goes away on its own.

What are the signs and symptoms of the condition?

Seeing blood in the semen can be quite frightening. Men with this symptom are often asked several questions by the healthcare provider, including: how many times blood has been seen in the semen when the bleeding started if there is blood in the urine or bleeding in other areas of the body if the man has any pain how often the man has had sex recently if the man has ever had a sexually transmitted disease what kind of sexual practices the man engages in

Other questions may be asked as well.

What are the causes and risks of the condition?

Most cases are from an unknown cause. Known causes include:

infections of the prostate gland, called prostatitis. Prostatitis may be acute, chronic, or non-bacterial .
infections of the seminal vesicles, which are two structures that secrete some of the fluid found in semen
infections of the urethra, known as urethritis. The urethra is the tube that carries urine and semen to the outside of the body.
urethral strictures, or narrowing in an area of the urethra. This may be caused by trauma or a previous infection.
certain sexual habits, such as prolonged abstinence or lack of sex, or unusually frequent sex
bleeding or blood clotting problems, such as hemophilia A or hemophilia B. Clotting problems can also occur in men who are taking too much of the blood-thinning drug warfarin.
tumors or cancer, a rare cause. The cancer may be in the prostate, seminal vesicles, or urethra.

What can be done to prevent the condition?

Most cases cannot be prevented because the cause is unknown. Urethral stricture and infection of the urethra are often due to sexually transmitted diseases. So practicing safer sex could prevent some cases of blood in the semen.

The following is from

Question: What could be the cause of blood in the semen? I have no problem urinating and no pain with ejaculation.

Answer: Blood in the semen, or hemospermia, is usually caused by infection or semino-vesiculitis (also called seminal vesiculitis), or prostatitis (infection in the prostate gland). This problem is usually treated with antibiotics and typically responds well to treatment.

If symptoms persist after adequate treatment, then attempts should be made to rule out prostate cancer. It would be appropriate to see your personal physician at this point in time.

If someone has a history of prostate cancer and develops blood in the semen, it could be an indicator or recurrence or progression of disease.

by Dr. Mohammed N. Mona, M.D.

Re: bloody semen & daily orgasm. (Archive in prostate.)

Posted by Walt Stoll on September 20, 2003 at 08:03:29:

In Reply to: Re: bloody semen posted by Some Info on September 19, 2003 at 19:08:26:

Thanks, Some.

Dr Mona has good information!

If Sara can come up with any better recommendation than daily orgasm, I hope she will share it with the rest of us. This harmless approach has been the most successful suggestion that I have found for my patients. Of course those things Dr Mona suggests as possible causes need to be ruled out but, if they ARE ruled out, then daily orgasm is what is needed.


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