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What Causes Blood In Semen?

Posted on Sat, 24 Dec 2016

Question: Two years ago had blood in my semen, no action was taken, in the last six months more blood then anything, sometimes bright red, other times brown. I had an ultrasound on the scrutum, said I had a cyst, doctor said not to worry, lately while having a bowel movement...found discharge from penis, blood.
I discussed the blood in semen at my yearly physical two weeks ago, today I have a referral to urologist...appointment to be made. My testicles keep changing size...what's going on?

Answered by Dr. Dr. P. T. Patil (7 hours later)

Brief Answer:
Bleeding is from burst superficial vein on the surface of Enlarged Prostate

Detailed Answer:
Hello
Thanks for your query, based on the facts that you have posted, it appears that you have blood in semen (Hemospermia)

I shall be happy if you can post me few more details to help me in making comments on your problem.

1) Do you have associated obstructive voiding symptoms like frequency for urination , poor stream , nocturia etc. ?

The most common cause for blood in semen at this age is due to bleeding from burst superficial veins on the surface of enlarged prostate and needs to be investigated However the possibility of bleeding due to side effect of blood thinner can not be ruled out .

Do consult qualified Urologist for clinical and digital rectal examination and get following basic
tests done to confirm the diagnosis :

1) Urine routine and culture analysis
2) Ultrasound scanning of abdomen and pelvis
3) Serum PSA.
4) Endoscopic Examination of bladder (Cystoscopy)

I would suggest you to stop taking aspirin for couple of weeks and observe for any improvement .

Further treatment will depend upon result of these tests and final diagnosis.

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. P. T. Patil (47 hours later)

I had a digital rectal exam at the time of my physical, NP did not comment. Actually it was 3 years ago when I last went to Urologist . I have been taking 81 mg aspirin for quite awhile...Urologist told me start taking every other day.
I have had a abdominal AAA, followed by Scrotum ultra sound (cyst).
Still the blood in semen continues. I had a EKG at my Cardiologist in XXXXXXX he put me on Eloquist , within 3 weeks I had blood in my urine, stopped the Eloquist...had a Cardioversion , and I am now on Comodine 5mg...doing required blood work every few weeks. The blood while having a bowel movement, discharge from penis only started within the last month. There is no more visible blood in the urine.
Urology appointment this Thursday. 12/08/16

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Possibility of Enlarged Prostate has to be ruled out .

Detailed Answer:
Hello
Thanks for follow up and updates .

In view of your age the possibility of Hematospermia due to Enlarged prostate has to be ruled out .

Go ahead and consult qualified Urologist as scheduled .If needed please do not hesitate to write me I shall be happy to address your concern

Thanks and Regards
Dr.Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar