#HLWDK Daily Health Tips:What Is Wrong With Him?

Q: Dr. my immediate bro is masturbating and now he is ejaculating blood as sperm. I am afraid. What is really wrong with him?

A: Hi dear, thanks for writing in. It is certainly very disturbing to see blood in semen! This phenomenon, known as haematospermia or haemospermia in men under 40 years with no other symptoms related to more serious issues (which I shall discuss below) is usually not a major medical problem. Causes include:

  • Inflammation of the prostate gland (where semen is produced)
  • Inflammation of the seminal vesicles (where most of the fluid in the semen is produced)
  • Cysts in the seminal vesicles
  • Sexually Transmitted Infections like gonorrhea, chlamydia etc
  • Following recent instrumentation eg after prostatic biopsy

These conditions would usually resolve on their own or require a course of antibiotics. Please be guided by your doctor.

Physical injury to the sex organs after fracture of the pelvis or injury to the testicles, excessively rigorous sexual activity or masturbation can cause blood in the semen. The latter appears to be the problem with your brother. By the way, if one is masturbating with another person, there is the possibility of an STI if objects (sex toys) are shared and/or if there is some exchange of body fluids. This now increases the chances of having blood in the semen because STIs are a recognized cause of this.

All the mails I’ve received on masturbation contain a common thread – that of feeling guilty. Some are also accompanied by a sense of low self-esteem which may have pre-dated this leading to excessive shyness and preference for masturbation, as opposed to talking to members of the opposite sex. The real challenge here is that there is nobody to talk to about these issues as we all tend to judge the people involved. The unfortunate fall out is that anxiety and depression may not be far behind if this cycle of guilt and low esteem is not addressed.

Any activity that holds one a prisoner of his/her desires has to be mastered. It has to be controlled otherwise, it rules the person’s life. Imagine being a slave to your sexual desires! :O And if this is accompanied by negative feelings like guilt, anxiety, depression etc, then it has to be decisively dealt with.

Counseling would be the way to go…I don’t know any of help groups here in Nigeria. I will make enquiries though. Or find someone who you feel you can trust and talk to. This person could be someone from home, church etc However, it’s important that people seeking help for any kind of issue, are not judged by anyone…from church or from other social circles. We all try to act as if we’re all holy and wonderful people but we all struggle with different stuff, just like every other person J Empathy is key here.

It is important to find out the why…what makes me want to do this again and again? What feeling am I trying to achieve? What am I trying to avoid? Indeed, going cold turkey and just deciding to stop could very well happen after this.

For more on this topic, please click on this link: https://chatwithdrketch.com/2014/08/05/daily-health-tips-depression-masturbation-and-over-protective-parenting/


Back to blood in semen….

Please note however that, if you develop the under-listed symptoms, especially if you’re older than 40 years, it may be a sign of more serious conditions and you should see your doctor immediately.

  • Blood in semen which persists for longer than 3 to 4 weeks
  • Presence of other symptoms like pain during urination
  • Recurrence of blood in semen
  • Presence of other risk factors for bleeding disorders, cancer etc

These more serious problems could be due to bleeding disorders, severe high blood pressure, cancer etc

So, please see your doctor and let him make a proper diagnosis.

All the best.


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