Blood in Semen (Hematospermia)

Blood in the semen also called hematospermia, is blood that is visible in the ejaculation fluid and sometimes too small to be seen. Blood in semen is most commonly a result of an infection or inflammation in any of the glands, tubes, or channels that produce and move semen in the body.


Blood in the semen is usually caused by inflammation of the seminal vesicles and might be a sign of disease or a problem in the urethra, testicles, epididymis, or prostate. Symptoms that may occur with hematospermia could include:

  • Blood in urine

  • Fever or chills

  • Pain with bowel movement

  • Pain with ejaculation

  • Lower back pain

  • Pain with urination

  • Swelling and pain in scrotum

  • Tenderness in groin area


At MAUA our expert doctors could use various methods to diagnose this condition and could include:

  • Prostate exam

  • PSA blood test

  • Semen analysis

  • Semen culture

  • Ultrasound of pelvis and scrotum

  • Urinalysis

  • Urine culture

  • Ultrasound of the seminal vesicles, scrotum, and testes

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