Although the presence of blood that occurs spontaneously (without previous trauma or disease known) mixed, or staining the semen (called hematospermia) is a startling reason for consultation, in most situations is not due to a serious health problem .
Since we know that many patients do not consult when suffering from the shame of having to talk about topics that are considered intimate with strangers, try to give you a summary of the problem to help you. We also want to know your experience in these situations as it helps us understand how to react to our patients.
Although we have noted in the introduction that the presence of blood with semen generally not due to a serious health problem, this does not mean that should not be consulted, since it is not normal, and therefore if the required consultation doctor (but not urgent if there is a night or weekend).
Most cases present with repeated episodes, although some experience it only once.
It is often idiopathic (unknown) but may be associated with prolonged abstinence, frequent intercourse, withdrawal and bleeding disorders. In many cases the cause is a small urinary tract infection (not necessarily contagious) or presence of calculi in the ureter, which irritates the wall and causes minimal bleeding.
Many urologists attribute symptoms to a seminal vesiculopatía as a result of infection or indefinite vascular congestion.
The disorder is benign and rarely associated with malignancy or severe infection. It is always useful, however, evaluating these patients for possible prostate infection or urethral strictures.
Since the cause is unknown in most cases, treatment is largely empirical. Some urologists recommend a trial of 5-7 d with tetracycline, 250 mg 4 / d, followed by a gentle massage. In the absence of a declared urologic disease, patients should be reassured in the sense that the problem is not severe or progressive, but always requires consulting the urologist who is the specialist to rule out serious illnesses.
