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I Had Blood In Semen A Year Ago And Inflammation From Rectal Exam But No Nodules What Could Be These Symptoms?

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Posted on Thu, 24 Nov 2022
Question: I had blood in semen a year ago it cured itself but came back out of nowhere a few days ago it has been an off and on problem for 3 years but I had a year of 0 blood in semen and I have no other symptoms whatsoever if I take antibiotics it causes worse problems for me including testicle soreness. No infection has shown up on urine screenings and I have 0 symptoms of prostitatus except blood in semen. I’m 42 and have just been frustrated and have no clue why this could be happening. I don’t have pain a urologist in pAst ruled me out for prostate cancer but no extensive testing were performed just indicated he noticed inflammation from rectal exam but no nodules or other concerns. Over time if I masterbate more frequently it tends to clear up over time. It’s a mystery.
doctor
Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
different possible causes

Detailed Answer:
HI,

It is understandable to be concerned about the recurring problem, in most persons, however, it is not associated with a serious medical condition. In some persons the exact cause is not found.

As you mentioned, it can sometimes be associated with conditions of the prostate such as infection or enlargement but there would usually be additional symptoms and the PSA would show changes.

Other causes are -(1) conditions of the urethra ( this is the tube in the penis through which urine and semen pass)

Infection, stricture (narrowing), cysts, polyps (benign growths)- can cause bleeding to occur

(2)seminal vesicles- these are glands that are involved in semen production.

Cysts in these glands can also cause this symptom

(3)there are systemic/generalized illnesses that are also associated with this condition eg high blood pressure, liver disease , bleeding disorder

Normally investigations would consist of a urinalysis and culture, PSA but these are the find infections and conditions of the prostate which you said have been ruled out.

Imaging with a transrectal ultrasound may be needed to take a look at it, it would be able to check the seminal vesicles along with other structures

Cystourethroscopy involves taking a look at the urethra

In many persons, as it did with you at one point, it resolves on its own.

I hope this helps, feel free to ask any other questions

Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (18 hours later)
Can it be hormonal? This only started at 40. Also how does it clear with continued masterbation over time only if it’s frequent? There is no pain. Is that indicating an injury or is it unexplainable. Is there any type of diet that can help prevent it from coming back? Not sure why it keeps coming back 6-9 months of no issues then returning is this common?
doctor
Answered by Dr. Michelle Gibson James (29 minutes later)
Brief Answer:
due to possible clearance of the passage

Detailed Answer:
HI

No, it is not usually related to hormones.

In terms of the clearance with masturbation, this may be due to flushing out of the passage where the semen would travel though the exact cause is not clear. It may be similar to urinary tract infections where excess fluid is advised to flush the kidneys.

Unfortunately, there is no known diet that would help with this symptom.

Recurrence can occur in some men. If you have been through the different imaging (ultrasound and scope mentioned previously) and nothing has been found, then you would fall under the umbrella of those men where the cause is not known.
In others may be the structural changes or cysts mentioned

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (1 hour later)
I tried increasing flushing by doing it 3 times in last 24 hrs it’s not much better. If it’s just bleeding in sperm with no other symptoms then it usually is not dangerous? I have normal urination and nothing else I did notice it came out after playing tennis one day could I have injured myself without knowing it? It’s just very alarming to see but I think it’s ok to wait a few weeks to see if it clears on its own? Usually it would clear over time it’s just a nagging issue so drinking more water does not help?
doctor
Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
usually not dangerous in most

Detailed Answer:
HI

Yes, you can wait a few weeks and see if it clears up again. It is usually not dangerous in most persons but at some point, if possible ( if you have not had the assessment done already), you should have imaging to make sure though.
Even when a lesion is found it is not usually life threatening eg may be benign cyst or growth

Injury is one cause but in most cases, trauma or injury to the groin area is noticed because usually associated with pain.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16809 Questions

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I Had Blood In Semen A Year Ago And Inflammation From Rectal Exam But No Nodules What Could Be These Symptoms?

Brief Answer: different possible causes Detailed Answer: HI, It is understandable to be concerned about the recurring problem, in most persons, however, it is not associated with a serious medical condition. In some persons the exact cause is not found. As you mentioned, it can sometimes be associated with conditions of the prostate such as infection or enlargement but there would usually be additional symptoms and the PSA would show changes. Other causes are -(1) conditions of the urethra ( this is the tube in the penis through which urine and semen pass) Infection, stricture (narrowing), cysts, polyps (benign growths)- can cause bleeding to occur (2)seminal vesicles- these are glands that are involved in semen production. Cysts in these glands can also cause this symptom (3)there are systemic/generalized illnesses that are also associated with this condition eg high blood pressure, liver disease , bleeding disorder Normally investigations would consist of a urinalysis and culture, PSA but these are the find infections and conditions of the prostate which you said have been ruled out. Imaging with a transrectal ultrasound may be needed to take a look at it, it would be able to check the seminal vesicles along with other structures Cystourethroscopy involves taking a look at the urethra In many persons, as it did with you at one point, it resolves on its own. I hope this helps, feel free to ask any other questions Thanks.