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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blood In Semen After Ejaculating?

When I ejaculate some dark red blood first appears then my semen which appears normal. I am a 66 year old male currently using Xarelto. My last PSA was around 1.0. The tip of my penis has a mild buring sensation after ejaculation. My urine is clear. I have a right side reducible inguinal hernia and will have surgery in the near future.
Mon, 2 Mar 2015
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Infectious Diseases Specialist 's  Response
Hello dear,

Thank you for your contact to health care magic.

I read and understand your concern.

I am Dr Arun Tank answering your concern.

There are two possible causes of the hemorrhage in you.

First is the inguinal hernia which got obstructed and the result is the hemorrhage. But this cause is associated with the severe pain. Which is absent on your complaint so it can be excluded.

Second cause is the anticoagulant xarelto. Anticoagulant helps to stop coagulate the blood. So I afraid the coagulation procedure near vessels of the ejaculation duct is stop coagulating the blood the result is the bleeding.

Other evidence in support is the absent of blood on the urine and present on the ejaculation.

I advice you should change the drug xarelto to something else. I advice you should visit nearby doctor because they will guide you drugs as per the body condition of your.

I will be happy to answer your further concern on bit.ly/DrArun.

Thank you,
Dr Arun Tank
Infectious diseases specialist,
HCM.
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What Causes Blood In Semen After Ejaculating?

Hello dear, Thank you for your contact to health care magic. I read and understand your concern. I am Dr Arun Tank answering your concern. There are two possible causes of the hemorrhage in you. First is the inguinal hernia which got obstructed and the result is the hemorrhage. But this cause is associated with the severe pain. Which is absent on your complaint so it can be excluded. Second cause is the anticoagulant xarelto. Anticoagulant helps to stop coagulate the blood. So I afraid the coagulation procedure near vessels of the ejaculation duct is stop coagulating the blood the result is the bleeding. Other evidence in support is the absent of blood on the urine and present on the ejaculation. I advice you should change the drug xarelto to something else. I advice you should visit nearby doctor because they will guide you drugs as per the body condition of your. I will be happy to answer your further concern on bit.ly/DrArun. Thank you, Dr Arun Tank Infectious diseases specialist, HCM.