Epistemis

Hematospermia

Specialty: Nephrology and urology.

  • blood in semen

Why it occurs

  • Prostatitis
  • After biopsy/instrumentation
  • Idiopathic
  • Uncontrolled hypertension

Initial workup

Drectal examination, urinalysis; PSA in >40 years.

red flags

Persistent in >40 years or with urinary symptoms (rule out neoplasia).

Standard management

  • Treat prostatitis — yes infection
  • Observation — is usually self-limiting

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousMale purulent urethral drip
Area
Nephrology and urology
Listed causes
4
Treatment options
2
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