What is Hematospermia ? ( Blood in Semen )
Hematospermia (also known as haematospermia, hemospermia and haemospermia; or informally, tomatospermia) or the presence of blood in semen, is most often a benign and idiopathic symptom, but can sometimes result from medical problems such as a urethral stricture, infection of the prostate, or a congenital bleeding disorder, and can occur transiently after surgical procedures such as a prostate biopsy. It is present in less than 2% of urology referrals, although prevalence in the overall population is unknown. Hematospermia can be a distressing symptom for patients, but most cases are effectively managed by a primary care physician. Although the condition is usually benign, significant underlying pathology must be excluded by history, physical examination, laboratory evaluation, and, in select cases, other diagnostic modalities. In men younger than 40 years without risk factors (e.g., history of cancer, known urogenital malformation, bleeding disorders) and in men with no associated symptoms, hematospermia is often self-limited and requires no further evaluation or treatment other than patient reassurance. Many cases are attributable to sexually transmitted infections or other urogenital infections in men younger than 40 years who present with hematospermia associated with lower urinary tract symptoms. Workup in these patients can be limited to urinalysis and testing for sexually transmitted infections, with treatment as indicated. In men 40 years and older, iatrogenic hematospermia from urogenital instrumentation or prostate biopsy is the most common cause of blood in the semen. However, recurrent or persistent hematospermia or associated symptoms (e.g., fever, chills, weight loss, bone pain) should prompt further investigation, starting with a prostate examination and prostate-specific antigen testing to evaluate for prostate cancer. Other etiologies to consider in those 40 years and older include genitourinary infections, inflammations, vascular malformations, stones, tumors, and systemic disorders that increase bleeding risk.
Causes of Hematospermia ?
Blood in semen can be caused by many conditions affecting the male genitourinary system. Areas affected may include the bladder, urethra, the testicles, the tubes that distribute semen from the testicles (known as the seminal vesicles), the epididymis (a segment of the spermatic ducts that serves to store, mature, and transport sperm), and the prostate gland.Blood in the semen is most commonly a result of a prostate gland biopsy. More than 80% of men who undergo a prostate biopsy may have some blood in their semen that persists for three to four weeks. Likewise,vasectomy can lead to bloody semen for about one week after the procedure.In men with hematospermia who have not had a recent prostate biopsy or vasectomy, a number of benign and malignant conditions of the male genital system may be the cause. In many situations, no definitive cause is found.The following conditions have been reported in association with hematospermia:
- Benign or malignant tumors of the prostate, bladder, testes, or seminal vesicles
- Infections including, but not limited to, chlamydia, herpes,cytomegalovirus, and trichomoniasis
- Inflammation of the prostate (prostatitis), epididymis (epididymitis), or urethra (urethritis)
- Calculi (stones similar to kidney stones) in the seminal vesicles or prostate
- Polyps in the urethra
- Ejaculation duct obstructions
- Metastatic cancers (that have spread from other sites in the body) located in the genitourinary system
- Cysts, hemorrhage, or other abnormalities in the seminal vesicle
Herbal treatment pyospermia ? in Tibbislami-e-Dawakhana
A number of causes are involved in abnormal condition of body (disease).The right diagnoses are right treatment.It is a universal reality that herbal treatment is the safe treatment in the world it has no any side effect.That is why the preference is given to herbal treatment throughout the world especially in Europe.Since 1955 tibb e islami dawakhana is busy in herbal research.So many patients cured by our medication.Send your all medical reports or visit my clinic (dawakhana).So that the right diagnoses will be made and we will be able to give you the right medicine.