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Men whose sole symptom is hematospermia are more likely to have prostate cancer than men who don’t have blood in their semen, but the chances are slim.
A Northwestern University study of 26,126 men who underwent prostate cancer screening proves the point: among all study participants, 6.5% were diagnosed with prostate cancer.
Inflammation of any of the organs, glands, or ducts involved in the production or storage of seminal fluid can lead to hematospermia.
These include the seminal vesicles, vas deferens, epididymis, prostate, and urethra (see Figure 1 below).
Of the 33 tumors that were identified, 25 were prostate tumors.
Several diseases and disorders that affect the whole body have been linked to hematospermia.
These include severe hypertension (high blood pressure), a bleeding disorder called hemophilia, leukemia, and chronic liver disease.
Most cases of hematospermia are probably caused, unintentionally, by medical procedures.
A busy urologist may see several patients a year with hematospermia, but it’s likely that far more cases go unnoticed by a man or his partner during intercourse.
And some cases certainly go unreported by men who’d rather not find out what ails them.
The condition, researchers believed, was “benign and self-limited.” But in 2003, thanks to improved imaging techniques, a team of researchers classified only about 15% of cases as idiopathic.