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What Causes Penile Bleeding After Ejaculation?
Question: I recently have had 2 times with bleeding after ejaculating
My PSA is in the Normal range
My urologist had put me on cipro
For an elevated PSA back in September for 30 days. No blood since then until last week. I take tadalafil 10 mg before sex. No blood in urine
No pain or stinging when urinating
Any ideas ?
My PSA is in the Normal range
My urologist had put me on cipro
For an elevated PSA back in September for 30 days. No blood since then until last week. I take tadalafil 10 mg before sex. No blood in urine
No pain or stinging when urinating
Any ideas ?
Brief Answer:
bleeding after ejaculation common and unlikely pathologic
Detailed Answer:
Thanks for contacting HCM with your health care concerns
You have been experiencing blood in your semen after ejaculation. This is called hematospermia. The most common cause of the blood in the semen is prior trauma to the urological tract either from instrumentation like catheterization or from injury. The next common cause is calculi in the prostate that may cause irritation to the prostate and cause bleeding. A very small number of patient will have prostate cancer but that is a rare presenting symptom for prostate cancer.
In my patients with hematospermia I would recheck your PSA and check your prostate for infection. If infected you may need a 4-6 week course of antibiotics like levaquin. If everything is otherwise normal then I would no be concerned with the blood in the sperm and stop worrying. This is one time where the treatment or the tests to define the cause of a condition maybe worse than the disease.
In summary
1. hematospermia common
2. Prostate calculi most common cause and benign
3. Prostate cancer very rare
4. Trauma from instrumentation or injury
5. If prostate infection then a 4-6 week course of antibiotics
6. Avoid invasive procedures as they may cause more injury
I hope this answers your question. Please contact HCM again with your health care concerns or questions
bleeding after ejaculation common and unlikely pathologic
Detailed Answer:
Thanks for contacting HCM with your health care concerns
You have been experiencing blood in your semen after ejaculation. This is called hematospermia. The most common cause of the blood in the semen is prior trauma to the urological tract either from instrumentation like catheterization or from injury. The next common cause is calculi in the prostate that may cause irritation to the prostate and cause bleeding. A very small number of patient will have prostate cancer but that is a rare presenting symptom for prostate cancer.
In my patients with hematospermia I would recheck your PSA and check your prostate for infection. If infected you may need a 4-6 week course of antibiotics like levaquin. If everything is otherwise normal then I would no be concerned with the blood in the sperm and stop worrying. This is one time where the treatment or the tests to define the cause of a condition maybe worse than the disease.
In summary
1. hematospermia common
2. Prostate calculi most common cause and benign
3. Prostate cancer very rare
4. Trauma from instrumentation or injury
5. If prostate infection then a 4-6 week course of antibiotics
6. Avoid invasive procedures as they may cause more injury
I hope this answers your question. Please contact HCM again with your health care concerns or questions
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. Bhagyalaxmi Nalaparaju
Answered by
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