Blood in semen (hematospermia) can be frightening, but the cause of this uncommon condition is usually benign. Typically, blood in semen goes away on its own.
If you're under age 40 and see blood in semen, you probably don't need to see the doctor as long as:
- You have no other symptoms
- You've had a recent prostate exam or vasectomy, which could explain short-term bleeding
- There isn't a lot of blood in the semen and it happens infrequently, then goes away
Make an appointment with your doctor if:
- You're 40 or older
- Blood in semen persists longer than three to four weeks
- The blood repeatedly recurs
- You have other signs and symptoms, such as painful urination
- You have other risk factors, such as a history of cancer, bleeding disorders or genital or urinary system malformation, or you've recently engaged in behaviors that put you at risk of sexually transmitted infections
Aug. 04, 2015
- Aslam MI, et al. A management algorithm for hematospermia. Nature Reviews Urology. 2009;6:398.
- AskMayoExpert. Hematospermia. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
- Weiss BD, et al. Hematospermia. http://www.uptodate.com/home. Accessed June 29, 2015.
- Wein AJ, et al., eds. Development, molecular biology, and physiology of the prostate. In: Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://wwwclinicalkey.com. Accessed June 29, 2015.