Question: Last night my wife and I were trying several sex positions. At times we were pretty intense. At the end, there was some blood that discharged with the semen. I believe this was a broken capillary of sorts. Are there any major concerns? Or do I just need to give it time to heal.

Ok. I should probably be more specific. Let me begin by saying I probably worded my first response incorrectly. It was not actually blood in the semen. Some blood came out with ejaculation, but the semen itself was a normal white color. Difficult to see, because the surrounding liquid had a reddish color to it. However, there is some historical information that may apply. I suppose since your the Dr., you be the judge.

About 3 weeks ago, my wife and I were experimenting sexually with some other stuff. I used a penis ring for the first time. Towards the end, I took it off because I seemed a bit too engorged. At the end of sex, I noticed a little bit of blood. Then when I went to the bathroom, there was actually a few drops of only blood after urinating. Of course, I noticed a slight discoloration in the urine as well. A peeing a few more times that evening, there was no more blood. We read online that sometimes, under too much pressure, it is possible to rupture a blood capillary, and since there was no more blood, we assumed that that was the likely answer. We avoided sex for about 4-5 days. We had sex several more times, did not use the penis ring, no discoloration, no blood, everything normal.

In my last post I stated that were trying many sexual positions. Some of them were a tad awkward and there were one or two moments when the angle was a bit off. I felt no real pain or discomfort, but, once or twice there was a bit of a bend in the penis from not getting the angle right or slipping out.

After the sex and after we noticed the bit of blood, I went to the bathroom and there was an obvious amount of blood coming from my penis. Like, actual drops of blood after urinating. To be specific, as soon as I urinated, a small dark clot of blood came out, with bloody urine, and then an actual flow of blood. Not a tremendous amount, but enough to make me wonder. I urinated several more times that evening with the same results. I would urinate, a clot would come out, then several drops of blood would follow. By the end of the night, during my last two urinations, there was no clot and no blood. I went to bed satisfied. However, when I woke up, I was partially erect, I went to the bathroom, a small clot came out, followed by some blood. I took things easy for the rest of the day. I used a small cold cloth with some ice and comfortably wrapped my penis for a short amount of time. I went about the rest of the day as normal. By 5 pm there were no more small clots and no blood whatsoever. It has been almost 24 hrs and there has been no blood or discoloration in my urine since. There is what appears to be a small bruise like area on my penis towards the bottom of the shaft. I have had no discomfort nor any pain through any of this.