What BLOOD in the SEMEN means (sometimes)

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Published Feb 8, 2025

A patient came to my office with blood in his semen, a condition known as hematospermia. If you’ve ever seen it, you know how alarming it can be. But was this a serious medical issue? Could it be cancer or an STD like chlamydia? My name is Dr. med. Dr. phil. Stefan Buntrock. As a board-certified urologist, my job is to connect the dots between unusual symptoms and accurate medical diagnosis.
Initially, the case was a puzzle. The patient was a healthy 38-year-old man with no major risk factors. He had experienced hematospermia twice in recent weeks but had no history of sexually transmitted infections (STIs) or high-risk sexual behavior. However, he did mention mild urethral discomfort and frequent urination that had briefly appeared but then disappeared after drinking cranberry juice.
A physical examination and ultrasound of the prostate, bladder, and seminal vesicles showed no abnormalities. However, a pelvic floor trigger point suggested pelvic floor dysfunction, which is common in men and can mimic more serious conditions. Still, I wasn’t fully convinced. Something was missing.
Then, I realized: I hadn’t tested his urine yet. A simple urine dipstick test provided a major clue—it showed positive for nitrite, a strong indicator of a urinary tract infection (UTI). A urine culture with resistance testing confirmed the diagnosis. The mystery was solved: this was not cancer or an STI but rather an easily treatable bladder infection.
This case highlights an important lesson: symptoms alone can be misleading. Many medical conditions present with similar symptoms, making self-diagnosis unreliable. Instead of turning to Dr. Google, it’s always best to consult a medical professional who can interpret symptoms correctly and perform the right tests.
For men, urinary tract infections can be tricky since they often present differently compared to women. Understanding urological health, knowing when to seek help, and trusting the medical process is key. If you want to learn more about men’s health, urology, and medical case studies, be sure to subscribe to UroChannel!

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#hematospermia #urology #urinarytractinfections