How is hematospermia formed? What are the causes of hematospermia?

Hematospermia is a common infectious disease of the male reproductive system, mainly caused by inflammation, common ones are seminal vesiculitis, prostatitis or urethritis. Generally, it is necessary to pay attention to whether it is accidental or habitual in patients in order to confirm the diagnosis.

Color and location of bleeding in semen

The color of semen is an important clinical sign for determining the bleeding site. When there is urethral bleeding, the semen is pink or red; when there is bleeding in the seminal vesicle or prostate, the semen is black or dark red. A large number of atypical red blood cells are seen in the bloody aspirate, indicating old bleeding; a very small amount of isomorphic red blood cells are mixed with atypical red blood cells, indicating that there is mechanical damage during the puncture process, resulting in a small amount of bleeding. For hematospermia caused by prostatitis, it can generally be improved by taking Yuzhiyuan tablets. Yuzhiyuan has a significant effect on improving sperm quality.

Differentiation between hematospermia and melanospermia

Melanospermia is a malignant melanoma that occurs in the prostate, seminal vesicles, or urogenital tract. It is a special clinical manifestation of malignant melanoma. The semen is black or there are black spots in the semen. Chromatographic analysis of the semen confirms that it is melanin.

Hematospermia and hematuria

About 5%-18% of patients with hematospermia have recurrent hematuria.

Post-ejaculatory hematuria can be caused by various urethral injuries, such as benign polyps of prostatic epithelium, microaneurysms in the prostatic urethra, and abnormally congested veins running along the seminal colliculus.

If ejaculation is accompanied by hematuria, the bleeding site may be in the urethra.

For those with retrograde ejaculation, hematuria may be caused by hematospermia.