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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Testicular Pain With Blood In Semen?

i am 26 years old. 5'7" 145lbs in good health other than my right testicle has been having pain that will come and go for the past 6 months. i have sex frequently. i find the pain is worse after i ejaculate. A few days ago there was blood in my semen. This is the first and only time this has happened. I had sex a couple times last night and then again today now my right testicle is in pain plus my lower abdominal is in pain and it it hard to stand up straight.
Mon, 23 Mar 2015
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General Surgeon 's  Response
Hi, you most likely have infection of the sperm tract.
Seminal Vesiculitis would be the most likely cause.
You should get a Urine and Semen culture done to see what is the problem and where is the infection. The report will also mention what antibiotics to start. You should take them for two weeks and avoid sex for this time. Then you could repeat the test and see.
Please see a Urologist if there is any doubt. He would be the best person to examine you and advice you accordingly.
Take care,
Dr Rishi, New Delhi, India.
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What Causes Testicular Pain With Blood In Semen?

Hi, you most likely have infection of the sperm tract. Seminal Vesiculitis would be the most likely cause. You should get a Urine and Semen culture done to see what is the problem and where is the infection. The report will also mention what antibiotics to start. You should take them for two weeks and avoid sex for this time. Then you could repeat the test and see. Please see a Urologist if there is any doubt. He would be the best person to examine you and advice you accordingly. Take care, Dr Rishi, New Delhi, India.