Brief Answer: Not to worry at this stage Detailed Answer: Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. The presence of blood in the semen suggests that there is either infection or inflamation. This causes blood vessels to bleed and makes them fragile. However as your urine report has come out normal and there are no pus cells in it, the possibility that it is due to infection or inflammation is less likely. The other distant possibility is that of a malignancy. But the fact that the episodes are very well spaced and between the episodes you never had any bleed suggests that it may not be a malignancy. Moreover the prostate examination has also come out normal. One common possibility is that of an aberrant vasculature in the urethra or vesicles. This causes occasional bleed but it is nothing to worry about as it is a temporary phenomenon. You may take some Vit C supplementation which helps in strengthening the vasculature. You may consider undergoing a diagnostic urethroscopy which will visualize if there are any abbarant vasculature and also if there is any inflammation or infection. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.

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