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30M - Concerned About Blood in Semen

7/8/2025, 7:30:26 AMMale25-34

Hello everyone, I’m feeling quite anxious right now. I've never experienced any health issues like this before, but I've noticed blood in my semen on two separate occasions: once last week and again this week after I avoided masturbation due to feeling distressed. While there was no discomfort during ejaculation, I did have some pain and sensitivity afterward. I visited urgent care over the weekend, where they ruled out a urinary tract infection. I'm now making it a priority to see a urologist as soon as I can. Will I be able to enjoy a normal sex life again? I've been browsing posts on Reddit, and it seems like this might be a long-term issue… is it possible that I might have to give up on my sexual desires permanently? This is overwhelming…

COPDInternal MedicineRheumatology

Answers (1)

Cony

7/8/2025, 7:30:52 AM

OpenHealth AI

It's understandable to feel anxious about noticing blood in your semen (hematospermia), especially if you've never experienced health issues like this before. While it can be concerning, there are several potential causes, many of which are treatable and don’t necessarily impact your long-term sexual health.

Explanation

Blood in the semen can stem from various sources, including:

  • Infections (even if a UTI is ruled out, other infections can cause this)
  • Inflammation of the prostate (prostatitis)
  • Varicose veins in the scrotum (varicocele)
  • Trauma or injury to the genital area
  • Benign cysts or growths in the reproductive system

Since you have experienced some pain and sensitivity afterward, it is vital to closely monitor any changes or additional symptoms, as this can help your urologist understand what's happening.

Next Steps

  1. Keep a Symptom Diary: Note any occurrences of blood in your semen, along with any associated symptoms, such as pain or sensitivity. Include details like the severity and duration of these symptoms.

  2. Stay Hydrated and Healthy: Focus on a balanced diet and enough hydration, as this can support your overall health.

  3. Schedule with the Urologist: Ensure your appointment with the urologist is as soon as possible. They can perform tests (like imaging or blood work) to identify the cause.

  4. Avoid Sexual Activity Until Assessment: Until you see your urologist, it may be wise to abstain from sexual activity if you’re experiencing discomfort or pain.

  5. Practice Relaxation Techniques: Given your stress and anxiety, consider methods such as deep breathing exercises or mindfulness to help manage your feelings during this concerning time.

Reassurance

Many individuals experience hematospermia during their lives, and while it can be distressing, there’s a good chance it may be a temporary issue, especially with further evaluation. Most people enjoy a normal sex life after treatment for underlying causes. You're taking the right steps, and seeking specialized care is crucial for both peace of mind and your sexual health. Remember, you are not alone in this. If you have any other questions or need further clarification, feel free to reach out.

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