Hematospermia Quiz

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Reviewed By:

Kenji Taylor, MD, MSc

Kenji Taylor, MD, MSc (Family Medicine, Primary Care Physician)

Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.

Nao Saito, MD

Nao Saito, MD (Urology)

After graduating from Tokyo Women's Medical University School of Medicine, Dr. Saito worked at Tokyo Women's Medical University Hospital, Toda Chuo General Hospital, Tokyo Women's Medical University Yachiyo Medical Center, and Ako Chuo Hospital before becoming Deputy Director (current position) at Takasaki Tower Clinic Department of Ophthalmology and Urology in April 2020.

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People with similar symptoms also use Ubie's symptom checker to find possible causes

  • Urination pain with little urine

  • Painful urination and less urine

  • Burning sensation with little urine

  • Pained urination with a reduced urine flow

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Learn more about Hematospermia

Content updated on Nov 2, 2022

What is hematospermia?

Hematospermia is the presence of bloody or blood-tinged semen. It is commonly seen after prostate biopsy (lasts for 3-4 weeks), radiation treatment for prostate cancer, genital and urinary cancers, infections, trauma, and systemic diseases.

Symptoms of hematospermia

  • Blood in the sperm / semen

  • Decreased urine volume with painful urination

  • I had a biopsy of my prostate within the last 2 weeks

Questions your doctor may ask to check for hematospermia

  • Have you ever had red or bloody semen?

  • Are you experiencing painful urination and decreased urine output?

  • Have you had a prostate biopsy recently?

Treatment for hematospermia

Treatment of hematospermia depends on the cause. If related to recent procedures, it usually resolves within a few weeks. Infections require treatment tailored to the cause like antibiotics, antivirals or antiparasitics. Cancer may require surgery, chemotherapy, and radiation therapy. Treatment of systemic diseases is required if identified.

View the symptoms of Hematospermia

  • Blood in the semen

  • Less urine with pain

References

  • Efesoy O, Çayan S, Akbay E. Novel algorithm for the management of hematospermia. Turk J Urol. 2020 Oct 23. doi: 10.5152/tud.2020.20428. Epub ahead of print. PMID: 33112734.

    https://www.turkishjournalofurology.com/en/novel-algorithm-for-the-management-of-hematospermia-133700

  • Mathers MJ, Degener S, Sperling H, Roth S. Hematospermia-a Symptom With Many Possible Causes. Dtsch Arztebl Int. 2017 Mar 17;114(11):186-191. doi: 10.3238/arztebl.2017.0186. PMID: 28382905; PMCID: PMC5387851.

    https://www.aerzteblatt.de/int/archive/article/186864

  • Mittal PK, Camacho JC, Sahani DV, Kalb B, Harri PA, Master V, Kokabi N, Hartman M, Kitajima HD, Moreno CC. Hematospermia Evaluation at MR Imaging. Radiographics. 2016 Sep-Oct;36(5):1373-89. doi: 10.1148/rg.2016150195. Epub 2016 Aug 12. PMID: 27517360.

    https://pubs.rsna.org/doi/10.1148/rg.2016150195

User testimonials

Reviewed By:

Kenji Taylor, MD, MSc

Kenji Taylor, MD, MSc (Family Medicine, Primary Care Physician)

Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.

Nao Saito, MD

Nao Saito, MD (Urology)

After graduating from Tokyo Women's Medical University School of Medicine, Dr. Saito worked at Tokyo Women's Medical University Hospital, Toda Chuo General Hospital, Tokyo Women's Medical University Yachiyo Medical Center, and Ako Chuo Hospital before becoming Deputy Director (current position) at Takasaki Tower Clinic Department of Ophthalmology and Urology in April 2020.

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