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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Blood Streaks In Semen?

I had small streeks of blood in semen for three years. I am 61, Digital prostate exam was OK, PSA was 5.1. I learned to live with the little blood in semen hoping it will go away. However, about two weeks ago, I noticed almost suddenly an increase in the blood in semen. Yesterday it was like pure blood. I tried again today and it was still bloody but brownish more than red. What could be the problem?? By the way, I never had prostate biopsey.
Mon, 17 Jun 2019
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General Surgeon 's  Response
Hi,

These symptoms indicate in most cases prostate issues such as prostatitis or hypertrophy and rarely it may be sign of STD infection.

You should avoid intercourse for till symptoms persist and drink plenty of fluids.

If symptoms persist it would be good to do a prostate ultrasound and check your PSA levels to rule out a prostate tumor or hypertrophy and further treatment depends on these findings.

In most cases, it can be controlled with medications but sometimes, in case of a tumor, open surgery is required.

And severe benign hypertrophy may be managed endoscopically so you should consult urologist about appropriate options.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Chronic Blood Streaks In Semen?

Hi, These symptoms indicate in most cases prostate issues such as prostatitis or hypertrophy and rarely it may be sign of STD infection. You should avoid intercourse for till symptoms persist and drink plenty of fluids. If symptoms persist it would be good to do a prostate ultrasound and check your PSA levels to rule out a prostate tumor or hypertrophy and further treatment depends on these findings. In most cases, it can be controlled with medications but sometimes, in case of a tumor, open surgery is required. And severe benign hypertrophy may be managed endoscopically so you should consult urologist about appropriate options. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon