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What Causes Blood In Semen?

Posted on Wed, 29 Jun 2016

Question: I saw a urologist number 3 because i still have blood in the semen for the last 2 years . He asked for the the following analysis again:
Urine analysis
Semen culture
PSA
Rectal ultra sound
Digital rectal exam
Kidney function analysis
The results are still not ready.
I have done the above tests 2 times before.
I have two questions:
1. I am still unsure what is the problem? Wher the blood come from?
2. After the rectal ultrasound i have more blood coming out. Please note thia procedure lasted 1 min and it is not biopsy.

Please help I am worried.

After the
Rectal ultra sound and
Digital rectal exam

I have more blood. This done last wednesday.

No pain or any other symptoms.
Only blood in semen

Answered by Dr. Dr. P. T. Patil (33 minutes later)

Brief Answer:
Need further investigation to trace out source of bleeding .

Detailed Answer:
Hello Dear,
Thanks for your query , based on the facts that you have posted it appears that you have Hematospermia since long time and all the basic tests done so far has not revealed or conclusive to detect source of bleeding .

In view of bleeding occurring more after Digital Rectal Examination and without any other symptom related to prostate pathology, I suspect this bleeding from the abnormality in vascular architecture of prostate .

Since you have repeatedly done almost all tests thrice, I would suggest you to consult qualified Vascular Surgeon or Intervention Radiologist to study the details of vascular anatomy of your prostate .

Please discuss this with your Urologist during your next visit .

Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. P. T. Patil (10 minutes later)

Please i do not understand the medical terms her
What is the vascular architecture of the prostate?
What is the Vascular Surgeon
In plain english what I have and what i supposed to discuss with me dr.

So you think i have more blood now due to
The rectal exam or the rectal ultra sound?

Please reply.

Answered by Dr. Dr. P. T. Patil (57 minutes later)

Brief Answer:
Please read in detail as under .

Detailed Answer:
Hello
Thanks for follow up .
I would tr to explain the rationale behind suggesting this test.

Every organ is supplied by a pure arterial blood by branch of artery from arterial tree . At the same time venous blood (impure blood) from the organ is carried away towards heart by a vessels called vein . Every organ has this normal pattern of blood circulation which is called as vascular architecture.

In certain circumstances , if there is abnormality in this architecture that leads to unexplained bleeding from that organ which is detected by Radiological test called Selective Arteriography (Angiography) where Radio Opaque XXXXXXX is injected selectively into artery supplying arterial blood to that particular organ .

This test is usually carried out by Interventional Radiologist under the guidance of Vascular surgeon or Cardiologist .

This test is rarely performed but it is very important and definitive and confirmative test to explain the source of bleeding when all the basic and common tests fail to explain the cause and source of bleeding .

Thanks and Regards.
Dr.Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee