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What Causes Blood Semen?

Posted on Tue, 14 Apr 2015

Question: Hi

I have blood in semen. I have done all tests including PSA, ct scan, culture for semen and urine and ultra sound.

I have no other symptoms

Doctor say nothing wrong with me.

It is recurring and i am worried.

I saw 3 urologist.

the third prescribed

Xatral xl 10 for a month

But i have no prostate enlargement.

What i do please help.

Thanks

I do not have increased frequency for urination ,urgency,burning urination etc
No painful ejaculation?
I have done chlamydia test and was negative
also done liver test and was ok.

Answered by Dr. Mohammed Taher Ali (4 hours later)

Brief Answer:
Less likely to be a serious problem

Detailed Answer:
Hi
Since you have been examined by three different urologists and all the possible investigations like urine analysis, ultrasound, CT scan, CBC, semen analysis, PSA, have been done and proved to be normal.

These investigations have almost ruled out stones, infection in the urogenital tract, prostate, or kidneys.
Xatral is used to treat benign prostatic enlargement associated urinary problems like urgency, precipitancy. It is unlikely to cause hematospermia (blood in the seminal fluid).

I have seen all the reports of lab investigations attached.

In view of the normal investigations, it is unlikely that you have any serious problem with your prostate or urinary tract (kidney, ureters, or bladder).

Have you done the clotting profile like bleeding time, clotting time, etc.?

Take a lot of oral fluids, take plenty of fresh fruits like orange, lime etc.
Wishing you a speedy recovery.

Best regards.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mohammed Taher Ali (14 minutes later)

I did not say Xatral is the cause of blood.
He gave it to to treat the blood problem.

So if you think all is fine where the blood come from?
And can Xatral treat it. I have not taking it yet. I am not sure i need it because it is for prostate enlargement and I don't have this and worried about the side effects.

Thanks

Answered by Dr. Mohammed Taher Ali (3 hours later)

Brief Answer:
Xatral is not used to treat blood problem.

Detailed Answer:
Hi

Xatral is used to treat the symptoms of benign prostatic enlargement.
Nowhere it is used to treat any blood problem as you had suspected.

Has any urologist advised you the semen analysis?

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mohammed Taher Ali (13 minutes later)

Thanks for the reply

Yes semen culture and was negative.

Answered by Dr. Mohammed Taher Ali (3 minutes later)

Brief Answer:
Semen analysis report!

Detailed Answer:
Can you please attach the report of semen analysis not the culture report,
Thanks

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mohammed Taher Ali (12 minutes later)

No i have never done semen analysis.
We only have done the culture

Answered by Dr. Mohammed Taher Ali (3 minutes later)

Brief Answer:
Get the semen analysis done.

Detailed Answer:
Hi
Since you main problem is blood in the seminal fluid, so kindly get the semen analysis to rule out the bleeding in the genital tract.
You are also advised to undergo tests for bleeding tendency like clotting time and bleeding time.

Regards!

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Mohammed Taher Ali (15 minutes later)

Ok i will do semen analysis

But what is bleeding tendency like clotting time and bleeding time.what is this for please. To show what?
Is it blood test?

Answered by Dr. Mohammed Taher Ali (2 minutes later)

Brief Answer:
To detect the underlying bleeding disorder, if any!

Detailed Answer:
Hi
These tests are usually done to detect any bleeding disorder.

Hope your doubts are cleared now.

Best regards!

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Mohammed Taher Ali (2 minutes later)

I will do can i get back to you ?

XXXX

Answered by Dr. Mohammed Taher Ali (16 hours later)

Brief Answer:
Yes, sure you can definitely.

Detailed Answer:
Dear XXXX,

You can contact me after getting the results.
May Allah help you.
XXXX.

Wishing you best of your health.

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Mohammed Taher Ali (29 hours later)

I have done the tests and uploaded them. Thanks

Answered by Dr. Mohammed Taher Ali (43 hours later)

Brief Answer:
There is an evidence of blood in the semen

Detailed Answer:
Hi
Kindly excuse me for the delay in answering as I am preoccupied with my other professional obligations.
The PT and PTT tests are within normal limits.
However there is an evidence of some evidence of bleeding in your semen analysis which is reflected in the form of 3-4 RBCs which are usually not seen.
You are hereby advised to visit your urologist for further evaluation n treatment.

Wishing you a very best of health.
Best regards.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Mohammed Taher Ali (1 hour later)

Hi
Semen culture is uploaded. The result is negative which even scare me more.

How can I have infection which does not appear in the culture.

Please let me know

Answered by Dr. Mohammed Taher Ali (4 hours later)

Brief Answer:
The possibility of infection is unlikely.

Detailed Answer:
Dear XXXX
In view of normal semen culture n sensitivity & other investigations infection is unlikely to be the cause of your present condition.
However your semen analysis is suggestive of some minor bleeding the cause of which has to be detected.
You are therefore advised to see your urologist along with all the investigations for further management.

Wishing you best of your health.
Regards.

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

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj