Experiencing Blood During Ejaculation: A Personal Account
I am a 29-year-old male who doesn’t take any prescription medications. However, I do frequently use supplements like vitamin D, ashwagandha, omega-3, and magnesium. My smoking habits include an occasional couple of cigarettes daily and a couple of joints weekly. Over the last three months, I have been noticing blood in my ejaculation. Occasionally, even without ejaculating—especially after attaining a strong erection while sleeping—I find blood present. Additionally, I have been experiencing discomfort and a firm sensation in my perineum and urethra. A few years back, I encountered a similar issue but with significantly less blood; that lasted for about nine months, and it resolved only after I was prescribed doxycycline. My doctor suspects it might be prostatitis, and prescribed doxycycline for a period of 40 days. After about 20 to 25 days on the medication, I noticed an improvement; while some pain lingered, the blood disappeared from my ejaculation. Unfortunately, the symptoms are now back. I'm uncertain if the initial improvement stemmed from the antibiotic or possibly the three days I took voltaren (diclofenac) concurrently. During the voltaren treatment, the symptoms significantly diminished, allowing me to engage in sexual activity with minimal discomfort and no blood. I have regular protected intercourse with my girlfriend. My doctor mentioned that sexual activity might help alleviate prostate pressure, noting that it can be normal to experience some blood or pain post-intercourse. So far, I've only consulted with my general practitioner due to the unavailability of timely appointments with a urologist; my appointment is set for 40 days from now. To further elaborate, the blood is not related to urination. However, after an orgasm, my urine often appears reddish. It’s not merely a few drops; rather, it resembles the result of a small cut, as occasionally blood clumps are present when I urinate following sex or masturbation. I am reaching out for insights or assistance, as I am starting to feel quite alarmed about this situation.
Answers (1)
2/5/2026, 7:30:52 AM
OpenHealth AI
It's understandable to feel concerned when experiencing blood during ejaculation, especially given your recent symptoms. Blood in the semen, known as hematospermia, can arise from various causes, and it's important to monitor the situation closely while waiting for your urologist appointment.
Key Points to Consider:
- Possible Causes: Hematospermia can stem from infections (like prostatitis), inflammation, trauma, or even benign conditions. Given your previous experience with doxycycline, it seems possible that a prostate issue may be a contributing factor.
- Symptoms Monitoring: You’ve noted the return of blood after a period of improvement, and that your urine appears reddish post-ejaculation, which may suggest ongoing inflammation or irritation.
Actionable Steps:
- Track Your Symptoms: Keep a detailed diary of your symptoms over the next few weeks. Note when blood appears, the amount, any associated pain levels, and any activities that seem to influence the symptoms (like sexual activity, dietary changes, etc.). This information will be helpful for your urologist.
- Hydration: Drink plenty of water to help flush your system. This can aid in reducing irritation and help keep your urinary tract healthy.
- Avoid Irritants: Try to minimize smoking and the use of marijuana, as these can irritate the urinary and reproductive tracts.
- Managing Discomfort: If over-the-counter pain medication like ibuprofen is suitable for you (and you have no contraindications), consider using it to manage discomfort. Be sure to follow the recommended dosing.
- Seek Immediate Attention if Needed: If you experience severe pain, fever, difficulty urinating, or if the amount of blood significantly increases, seek immediate medical attention.
Follow-up:
Continue to prepare for your urologist appointment. If symptoms worsen or you remain highly concerned before the appointment, try reaching out to your doctor again for further guidance or to potentially expedite care.
It’s completely normal to feel anxious in such situations, but tracking your experience closely will empower you to seek the best care possible. Let me know if you’d like any more specific advice or information.
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