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What Causes Blood In Semen?

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Posted on Wed, 23 Dec 2015
Question: my son has blood in his seaman. what are the causes and what type of doctor should we go see

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Answered by Dr. Bonnie Berger-Durnbaugh (36 minutes later)
Brief Answer:
Information on causes of blood in semen:

Detailed Answer:
Hello and welcome,

Seeing blood where it shouldn't be can be scary. There are a number of causes of blood in the semen (hematospermia) - some more concerning than others.

One of the most common causes of hematospermia in someone his age is either excessive sex (such as too much masturbation), interrupted sex, or prolonged abstinence.

Infections in the genitourinary tract can also cause inflammation and bleeding. UTIs can do this, as can STDs and prostatitis (inflammation of the prostate).

Trauma to the genitourinary tract can cause bleeding into the semen too.

There are many other causes of hematospermia, but the ones I described are more common and more likely.

I'd advise first starting with your son's primary care doctor (family practice, pediatrician or internist) who can do a urinalysis from a urine specimen, to check for inflammation or infection. He or she can do a "dip" urinalysis while you are there in the office to get quick information about any abnormalities. He or she should then send the urine specimen to the lab for a complete urinalysis with microscopic evaluation. Depending on initial information, the primary care doctor may then want to refer your son to a urologist (doctor who specializes in the genitourinary system). But he or she may be able to sort it out without this referral.

I hope this information helps.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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What Causes Blood In Semen?

Brief Answer: Information on causes of blood in semen: Detailed Answer: Hello and welcome, Seeing blood where it shouldn't be can be scary. There are a number of causes of blood in the semen (hematospermia) - some more concerning than others. One of the most common causes of hematospermia in someone his age is either excessive sex (such as too much masturbation), interrupted sex, or prolonged abstinence. Infections in the genitourinary tract can also cause inflammation and bleeding. UTIs can do this, as can STDs and prostatitis (inflammation of the prostate). Trauma to the genitourinary tract can cause bleeding into the semen too. There are many other causes of hematospermia, but the ones I described are more common and more likely. I'd advise first starting with your son's primary care doctor (family practice, pediatrician or internist) who can do a urinalysis from a urine specimen, to check for inflammation or infection. He or she can do a "dip" urinalysis while you are there in the office to get quick information about any abnormalities. He or she should then send the urine specimen to the lab for a complete urinalysis with microscopic evaluation. Depending on initial information, the primary care doctor may then want to refer your son to a urologist (doctor who specializes in the genitourinary system). But he or she may be able to sort it out without this referral. I hope this information helps.