Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.

What Is Hematospermia And How Can It Be Treated?

Monday, 19 July 2010 01:34 PM

Question: What is hematospermia, what causes it, and how can it be treated?

Dr. Hibberd's Answer:

Hematospermia is a medical term for blood detected in semen. Seminal fluid contains sperm produced in the testes which is then mixed with secretions from other glands along the path of travel from the testicles. These secretions permit the sperm to navigate the vaginal and cervical environment enhancing the process of sperm meeting the egg (fertility) in the female's fallopian tube.

While trauma and infection are common causes, blood in semen requires further investigation. While rare, any malignancy of the testes or ductal system may produce this as well as disease of the epididymis (gland that sits on top of each testicle) and prostate (both glands that produce secretions to ejaculate that provide a medium to transport sperm).

I recommend you be aggressive. See your primary care physician for a basic workup and physical examination along with a rectal and testicular examination. If no obvious cause is found, consider an ultrasound combined with selective blood (CBC, PT, PTT, bleeding time, chemistry, PSA) and urine analyses. If necessary, consult with a urologist recommended by your doctor.

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