Blood in the ejaculate

Doctor Nguyen Dinh Lien, Head of the Department of Nephrology, Urology and Orthopedics, Hanoi E Hospital, said on April 20 that the patient did not feel pain or discomfort, so he hesitated to go to the doctor. He abstained from sex for about two weeks, then had sex again and saw normal semen. However, a week later, the phenomenon returned. This time, the semen was darker red with difficulty urinating, blood in the urine, he panicked and went to the hospital for examination.

Through clinical and urethroscopy, the treatment team found that the patient had a ruptured urethral vein. This is a rare disease, often appearing during sex, the penis is erect, the enlarged veins (due to blood stasis) burst, causing ejaculation and blood in urine.

Normally, semen is milky white in color and slightly sticky. Due to diet or other factors, semen can turn yellowish yellow. Pink, red semen when ejaculating blood, can be seen with the naked eye. Sometimes the semen is brown because the blood has mixed for a while and is discolored.

However, not all cases of bloody ejaculation are noticeable to the naked eye, the doctor said. When the amount of blood in the semen is too small, only a semen test for traces of red blood cells and blood cells can detect it.

According to Mr. Lien, besides the pathology of urethral vein rupture, there are some other causes of bloody ejaculation such as prostatitis, urethritis, epididymitis, prostate cancer… Occasionally , seminal vesicle tumors, testicular tumors are also associated with hematuria; Hemangiomas of the prostatic urethra or vas deferens can cause hematuria.

Doctor Lien said that ejaculate with blood rarely feels pain. The interval between times is also unknown, from a few days to several months. Patients with this condition are mostly confused, worried, do not go to the doctor right away, but often limit sex, which can make the disease go away on its own after a few days. However, the disease is easy to recur and even worsen if the cause has not been overcome. On the other hand, semen is not red but has a slightly black color, often due to metamorphic blood, if not treated, it will cause inflammation, affecting sexual and reproductive functions.

With this patient, the doctor treated with endoscopic burning method to stop bleeding, prescribed rest, immobilization at bed, abstaining from sex.

According to doctors, in people over 40 years old, this disease often turns into malignancy, including cancer, so it must be diagnosed and treated appropriately. When detecting the pathology of blood in the ejaculate, men should not be embarrassed or concealed, but must go to the doctor promptly to avoid complications.

Thuy Quynh