Blood in the semen

Alternative names:

semen - bloody

Definition:

Microscopic or visible blood present within semen (the fluid discharged upon ejaculation).

Considerations:

Preventative measures are specific to what causes the symptom.

Associated symptoms may include:

• pain with urination
• pain with ejaculation
• pain with bowel movement
• tenderness in scrotum
• swelling in scrotum
• swelling or tenderness in groin area
• lower back pain
• fever or chills

Common causes:

Blood in the semen may be caused by inflammation, obstructive processes, or trauma anywhere along the male reproductive tract. It may indicate disease or a problem within the urethra, testicles, epididymis, or prostate.

Note: There may be other causes of blood in the semen. This list is not all inclusive, and the causes are not presented in order of likelihood. The causes of this symptom can include unlikely diseases and medications. Furthermore, the causes may vary based on age and gender of the affected person, as well as on the specific characteristics of the symptom such as quality, time course, aggravating factors, relieving factors, and associated complaints. Use the Symptom Analysis option to explore the possible explanations for blood in the semen, occurring alone or in combination with other problems.

Update Date: 02/09/00
Updated by: J. Gordon Lambert, MD, Associate Medical Director, Utah Health Informatics and adam.com editorial