Experiencing Blood Clots in Urine Following Sexual Arousal
I'm reaching out in hopes that someone might resonate with my experience, as I've received little clarity from urologists thus far. I am a 35-year-old male who generally enjoys good health, avoids alcohol, and maintains a high level of physical activity. In late May, an unusual occurrence took place during sexual activity—blood mixed with semen was present in the condom. Following this, my first urination produced large blood clots (approximately three inches in size) in my urine. However, I noticed no blood in any subsequent urinations. While traveling abroad at the time, I consulted a local physician who performed a urinalysis, which returned normal results. Upon returning to the United States, I sought further evaluation from a urologist. They conducted an ultrasound, a cystoscopy, and an MRI—finding each test to be normal. The only notable finding was a borderline varicocele, which the doctors deemed not problematic. Since that initial event, I have refrained from sexual activity and reduced my regular physical exertion. Nevertheless, I continue to experience blood clots in my urine after sexual arousal, typically occurring during the first restroom visit in the morning. Following these incidents, I also feel a dull ache in my left testicle. I have had one prolonged period without symptoms lasting around 17 days; however, the bleeding has since returned, maintaining the same pattern—blood in the urine first thing after arousal. Does anyone have any insights on this situation? The advice I've received so far is simply to wait it out, but since nighttime arousal is involuntary, it is significantly affecting my sleep quality due to anxiety over waking up to this issue again the following day.
Answers (1)
7/21/2025, 7:01:58 PM
OpenHealth AI
It's understandable to feel anxious about experiencing blood clots in your urine, particularly when accompanied by other symptoms like testicular discomfort. Your situation suggests a potential connection between sexual arousal and the bleeding you’re experiencing, especially since it occurs primarily after these events.
Explanation
Blood in urine (hematuria) after arousal could indicate a few possible conditions, such as issues with the blood vessels, irritation of the urinary tract, or possibly even underlying vascular changes, like a varicocele. While serious conditions can often be ruled out with imaging and tests, the recurring nature of your symptoms warrants close attention.
Several factors could contribute here, particularly if the only physical finding was the borderline varicocele. It’s important to take these patterns seriously while also recognizing that many of these conditions can be managed effectively.
Next Steps
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Symptom Tracking: Keep a detailed log of your symptoms. Note when blood appears, the nature of the blood (clots, spotting), associated activities (like sexual arousal), and any pain or discomfort. This will provide valuable information for your healthcare provider.
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Hydration: Increase your water intake to help dilute the urine. This can sometimes lessen the concentration of irritants and assist in flushing your urinary system.
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Pelvic Floor Exercises: Consider incorporating pelvic floor strengthening exercises. They can help manage symptoms related to blood flow and pressure in the pelvis.
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Avoiding Triggers: Since you’ve noted a connection between arousal and occurrences, it may be helpful to avoid any activities that lead to sexual arousal before sleep if they are causing anxiety.
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Review with a Urologist: Given the complexity of your symptoms, follow-up consultations with a urologist are essential. Discuss your logs and express that your anxiety and the recurring nature of symptoms need further investigation, possibly asking about specific conditions that relate to sexual function and vascular health.
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Emotional Support: Seek support through counseling or a support group if the anxiety surrounding this issue is impacting your quality of life. Discussing your experiences with others in similar situations can provide comfort.
Conclusion
Please remember, while it’s important to seek clarity on your symptoms, it’s equally vital to take care of your mental well-being during this period. If new symptoms arise or if existing symptoms significantly worsen, seek immediate medical attention. You’re taking the right steps by reaching out for help, and I encourage you to keep advocating for your health.
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