Q: Good morning Doc, please I have a question. If sperm is mixed with blood, what is the cause?

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.

However, 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.

Good night y’all