What is hematospermia (bloody semen)?

Hematospermia is the medical term for blood in the seminal fluid. The color can range from light red to brownish or even black clots. It is mostly painless. It is reported in approximately 1 in 5,000 urological patients, and in over 70% of cases the exact cause remains unknown even with modern medical investigation.

What causes bloody semen?

Possible causes include prolonged sexual abstinence (which causes seminal vesicle distension and minor mucosal bleeding), urological trauma such as prostate biopsy or cystoscopy, infection of the prostate, bladder, or urethra, structural causes such as seminal vesicle obstruction or tumors, prostate polyps or calculi, testicular or urethral tumors, and systemic conditions such as hypertension, hemophilia, coagulation disorders, or severe liver disease.

Is bloody semen dangerous?

In most cases, especially in men under 40 years old with no underlying disease, hematospermia is caused by benign conditions and does not require aggressive investigation. However, in men over 40 or those with risk factors, further investigations are necessary to rule out serious causes such as prostate or other urological tumors.

Can prolonged sexual abstinence cause bloody semen?

Yes. Prolonged sexual abstinence — such as during a partner's pregnancy — can cause excessive distension of the seminal vesicles, leading to minor bleeding at the mucosal surface. This is a recognized benign cause of hematospermia.

When should I see a doctor for bloody semen?

You should consult a urologist or andrologist for any episode of bloody semen, particularly if you are over 40 years old, have an underlying medical condition, or if the symptom persists or recurs. A thorough history, physical examination, and tailored investigations are needed to identify the cause and rule out serious conditions.

What is the significance of age 40 in hematospermia evaluation?

Age 40 is a key threshold in hematospermia management. Men under 40 with no underlying disease and uncomplicated hematospermia can generally be reassured that the cause is benign without extensive investigation. Men over 40 require more thorough evaluation to exclude serious pathology such as prostate or urological cancers.

Hematospermia (Bloody Semen): Causes & Treatment

បានធ្វើបច្ចុប្បន្នភាពចុងក្រោយ៖ ខែឧសភា 18, 2026

Soaravy Weerasopone, ឯកទេសប្រព័ន្ធទឹកនោម

ជ្ឈមណ្ឌលកណ្តាលនៃមន្ទីរពេទ្យបាងកក។

មន្ទីរពេទ្យ Samitivej Sriracha, Chonburi

ទំនាក់ទំនង LINE

Bloody semen or in medical term “Hematospermia” is the top one concerning between the others at my Andrology clinic. This kind of Andrological-related problem absolutely terrified the patient and their partner because they will see the fresh blood in semen with naked eyes. So, in this topic it will be cleared along with clarifying for all aspects about this terrified condition.

ឈាមនៅក្នុងទឹកកាមតែងតែធ្វើឱ្យអ្នកដែលរងការឈឺចាប់។

និយមន័យនៃ Hematospermia

The definition of hematospermia is blood presenting in seminal fluid. The color visible as blood can be varied from a light red to brownish or even black clots. Mostly, it is painless. There was a report on the hematospermia prevalence approximately around 1:5,000 among urological patients. The etiology was also still unknown in over 70% of patients.

ពេលខ្លះវាបង្ហាញជាចំណុចពណ៌ត្នោតនៅក្នុងទឹកកាម។

ខាងក្រោមនេះគឺជាលទ្ធភាពដែលធ្វើអោយជម្ងឺទឹកកាមលាយឈាមអាចកើតឡើង ៖

Prolonged sexual abstinence – seminal vesicle distension from prolonged abstinence can cause minor mucosal bleeding.
Trauma – history of urological procedures (TRUS biopsy, cystoscopy), unusual sexual practices, or perineal trauma.
Infection – prostate, bladder, or urethral infections.
Organ-related causes – seminal vesicle obstruction or tumor, prostate polyps/calculi/tumor, testicular tumor, urethral pathology.
Systemic causes – hypertension, hemophilia, coagulation disorders, liver cirrhosis.

ការបញ្ចេញទឹកកាមមិនញឹកញាប់អាចនាំឱ្យមានជំងឺលើសឈាម។

In term of hematospermia management, urologist must seriously do with a good history taking, physical examination and a tailor-made investigation. Surprisingly, 40 years old is the magic number to categorize the hematospermia protocol. Patients who are under 40 years of age with no underlying disease can be managed as benign causes. On the other hand, if the investigations are pointing to or indicated then the tailor-made protocol will be fit for individuals.

គ្រូពេទ្យឯកទេសខាងរោគស្ត្រីត្រូវតែធ្វើយ៉ាងហ្មត់ចត់ជាមួយនឹងការទទួលយកប្រវត្តិល្អការពិនិត្យរាងកាយនិងការស៊ើបអង្កេតតាមតម្រូវការ។

ជម្ងឺទឹកកាមលាយឈាមវាបានប៉ះពាល់ទៅនឹងផ្លូវចិត្តអ្នកជម្ងឺយ៉ាងធ្ងន់ធ្ងរ ដូច្នេះតម្រូវអោយគ្រូពេទ្យផ្តល់កិច្ចពិភាក្សាជាលក្ខណៈអបរំនិងលើកទឹកចិត្តអ្នកជម្ងឺអោយបានល្អិតល្អន់ក្នុងលក្ខខណ្ឌចាំបាច់ណាមួយដែលកើតឡើង។ ប្រសិនលោកអ្នកមានសំនួរអ្វីផ្សេងទៀត សូមលោកអ្នកស្វែងរកវេជ្ជបណ្ឌិតដែលមានឯកទេសនៃជម្ងឺដែលពាក់ព័ន្ធនិងប្រព័ន្ធទឹកនោមដើម្បីពិភាក្សាព្យាបាលអោយបានត្រឹមត្រូវ ចំនែកខ្ញុំឯណេះវីញរីករាយនឹងរង់ចាំទទួលឆ្លើយសំនួររបស់លោកអ្នកគ្រប់សំនួរ។ ជួបគ្នាជាថ្មីជាមួយប្រធានបទដទៃទៀត។

សំណួរដែលសួរញឹកញាប់

Q1: Is bloody semen (hematospermia) dangerous?

In most cases, hematospermia is not dangerous and resolves on its own, particularly in men under 40 with no underlying medical conditions. Over 70% of cases have no identifiable cause. However, hematospermia that is persistent, recurrent, or occurs in men over 40 should be thoroughly evaluated by a urologist to rule out underlying conditions such as prostate disease, seminal vesicle pathology, or rarely, malignancy.

Q2: What causes blood in semen?

Common causes include prolonged sexual abstinence causing seminal vesicle distension, trauma from urological procedures or perineal injury, urogenital infections (prostate, bladder, or urethral), structural causes such as prostate polyps or seminal vesicle obstruction, and systemic conditions like hypertension, coagulation disorders, or liver cirrhosis. In over 70% of cases, no specific cause is identified.

Q3: Does hematospermia mean I have prostate cancer?

Hematospermia alone is not a specific indicator of prostate cancer. While prostate pathology is among the possible causes, the vast majority of hematospermia cases in younger men are benign. However, men over 40 or those with additional symptoms such as urinary difficulties, pelvic pain, or elevated PSA should undergo a comprehensive urological evaluation including PSA testing and possible imaging to exclude serious underlying conditions.

Q4: How is hematospermia investigated and managed?

The investigation approach depends on the patient’s age and associated symptoms. Men under 40 with no underlying disease and isolated hematospermia can often be reassured and monitored conservatively. Men over 40 or those with recurrent episodes require a thorough workup including PSA blood test, urine analysis, semen culture, transrectal ultrasound, and possibly MRI of the pelvis to identify any structural cause.

Q5: Will hematospermia go away on its own?

In the majority of younger men with no underlying cause, hematospermia resolves spontaneously without treatment. Regular ejaculation may help reduce the recurrence associated with prolonged abstinence. However, if symptoms persist beyond a few weeks, recur frequently, or are accompanied by other urinary or systemic symptoms, a urological consultation is strongly recommended.

If you are experiencing bloody semen and are concerned about an underlying cause, Dr. Soarawee Weerasopone offers specialist andrology consultations at Bangkok Hospital Headquarters. កក់ការពិគ្រោះយោបល់.

ការបដិសេធ៖ ខ្លឹមសារនេះត្រូវបានសរសេរ និងពិនិត្យដោយលោកវេជ្ជបណ្ឌិត Soarawee Weerasopone ដែលជាគ្រូពេទ្យឯកទេសខាងប្រព័ន្ធទឹកនោមដែលមានវិញ្ញាបនបត្រនៅទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក។ វាត្រូវបានបម្រុងទុកសម្រាប់គោលបំណងអប់រំតែប៉ុណ្ណោះ ហើយមិនមែនជាដំបូន្មានផ្នែកវេជ្ជសាស្ត្រទេ។ តែងតែពិគ្រោះជាមួយអ្នកជំនាញថែទាំសុខភាពដែលមានសមត្ថភាពមុនពេលចាប់ផ្តើមការព្យាបាលណាមួយឡើយ។.

សរសេរ និងពិនិត្យផ្នែកវេជ្ជសាស្ត្រដោយ៖ វេជ្ជបណ្ឌិត សូរ៉ាវី វីរ៉ាសូផូន (វេជ្ជបណ្ឌិត ប៉ុម) — អ្នកជំនាញខាងប្រព័ន្ធទឹកនោមដែលមានវិញ្ញាបនបត្រពីក្រុមប្រឹក្សាភិបាល ទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក។ អ្នកស្រាវជ្រាវអន្តរជាតិ៖ មហាវិទ្យាល័យវេជ្ជសាស្ត្របៃឡ័រ (សហរដ្ឋអាមេរិក) · សាកលវិទ្យាល័យជូនថេនដូ (ជប៉ុន) · មន្ទីរពេទ្យអនុស្សាវរីយ៍ឆាងហ្គុង (តៃវ៉ាន់)។.

វេជ្ជបណ្ឌិត Soarawee Weerasopone

លោកវេជ្ជបណ្ឌិត សូរ៉ាវី វីរ៉ាសូផូន (លោកវេជ្ជបណ្ឌិត ប៉ុម) គឺជាគ្រូពេទ្យឯកទេសខាងប្រព័ន្ធទឹកនោមដែលមានវិញ្ញាបនបត្រនៅទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក ដែលមានជំនាញខាងសុខភាពបុរស ការវះកាត់ដោយមនុស្សយន្ត (ប្រព័ន្ធដាវីនស៊ី) និងការព្យាបាលគ្រួសក្នុងតម្រងនោម។ លោកបានបញ្ចប់អាហារូបករណ៍អន្តរជាតិនៅមហាវិទ្យាល័យវេជ្ជសាស្ត្របៃឡ័រ (សហរដ្ឋអាមេរិក) មន្ទីរពេទ្យសាកលវិទ្យាល័យជូនថេនដូ (ជប៉ុន) និងមន្ទីរពេទ្យអនុស្សាវរីយ៍ឆាងហ្គុង (តៃវ៉ាន់)។ ខ្លឹមសារវេជ្ជសាស្ត្រទាំងអស់នៅលើគេហទំព័រនេះត្រូវបានសរសេរ និងពិនិត្យដោយលោកវេជ្ជបណ្ឌិត សូរ៉ាវី ដោយផ្អែកលើបទពិសោធន៍គ្លីនិក និងការបណ្តុះបណ្តាលអន្តរជាតិរបស់លោក។.