Bleeding after sexual intercourse can occur in men due to an inflammation or infection of the prostate gland, including the seminal vesicles. However, in the vast majority of cases, it should not cause concern.
This alteration is known medically as hemospermia or hematospermia and represents a frequent reason for medical consultation with the urology specialist. The appearance of blood in semen occasionally occurs in minimal amounts that go unnoticed, which are only visualized through a laboratory examination.
If you want to know the causes of bleeding after having sex in men, continue reading this article from FastlyHeal.
Causes of bleeding after sex in men
Haemospermia or hematospermia is a benign disorder characterized by blood in the semen. It can disappear spontaneously with or without treatment. In cases where it lasts much longer, the doctor should be consulted.
This blood may or may not be evident to the naked eye. The important thing is that it does not affect sexual function. It is controlled quickly without any alteration for the sufferer in most cases.
The causes that can cause bleeding after having sex in men are varied. Among them are:
- Drugs: some medications can cause the presence of blood in the semen after sexual intercourse or ejaculation. Drugs such as aspirin, heparin, and sintrom are anticoagulant medications; they reduce the ability to clot the blood, preventing the risk of embolisms. These are indicated in people with blood clotting disorders.
- Prostatic causes: the enlargement of the prostate, known as prostatic hyperplasia, becomes present after 40 years of age. The most frequent symptomatology of prostatic hyperplasia is bleeding through urine or semen.
- Transrectal biopsy of the prostate: this pathology is one of the most frequent causes of hematospermia. It resolves on its own after a month.
- Infections in the prostate gland are caused by E. Coli, Proteus, Enterococcus, Streptococcus, Staphylococcus, Mycoplasma, Chlamydia, Klebsiella. There are other rarer infections caused by: acquired immunodeficiency virus (HIV), human papillomavirus (HPV), tuberculosis, cytomegalovirus, among others.
- Tumor lesions in the prostate product of cancer cells: can trigger the appearance of bleeding after having sexual intercourse.
- Irritation of the urethra: urethritis consists of inflammation of the duct that runs from the bladder to the penis, causing redness and swelling due to contamination through bacteria or viruses. The bacteria that cause this disease are E. Coli, Chlamydia, and Gonorrhea. Some viruses, such as Cytomegalovirus or Herpes Simplex virus, can contribute to this alteration. Urethritis is common in young men; the presence of polyps, condylomas, cysts, or malignant tumors in the urethra can cause this alteration.
- Testicular causes: the presence of malignant tumors in the testicles, known as seminomas or non-seminomatous tumors, can give rise to blood in the semen.
- Trauma: traumatic injuries that occurred unexpectedly at the perianal, testicular, and penile levels, including traumatic diagnostic procedures, such as the injection of sclerosing substances used in the treatment of hemorrhoids or the use of instruments, which could cause a malpractice injury to a level of the organs located in the pelvis.
- Systemic diseases: especially uncontrolled chronic hypertension, elevated serum creatinine levels, renovascular disease, proteinuria, or chronic liver disease. These pathologies are chronic diseases where the vascular part is involved. If they are not controlled, they can generate bleeding after sexual intercourse in men.
Symptoms associated with hemospermia
Bleeding after sex in men is evident, depending on the cause, through the following symptoms:
- Blood in the urine.
- Blood in the semen.
- Painful ejaculation
- Tenderness and swelling in the scrotum or groin area.
- Pain when urinating
- Pain with bowel movements.
- Fever and chills
The presence of all or some of these symptoms may accompany bloody sperm after intimate relationships.
Diagnosis of the presence of blood in semen
When you go to the doctor’s office for bleeding after having sexual intercourse, the specialist doctor, in this case, the urologist, will ask you about your personal history, that is, if you have recently undergone any surgical procedure on the urinary tract, such as a biopsy or have had prostate surgery.
After this, he will indicate some diagnostic tests such as:
- Blood test.
- Urine analysis.
- Pelvic ultrasound.
With these studies, infections, prostate disorders, or any injury causing bleeding after sexual intercourse will be ruled out.
Treatment of ejaculation with blood
Medical treatment is directed at the cause of the bloody ejaculation. Specialists should indicate this in urology according to the patient’s symptoms.
- When the cause is the product of the intake of some drugs, such as aspirin or anticoagulants, only suspending them is enough to prevent bleeding.
- Suppose the increase in the size of the prostate is the trigger. In that case, the urologist will indicate the treatment to control it with medications responsible for reducing the size of the prostate or, otherwise, if the size is much larger. Surgical resolution is required. Transurethral resection of the prostate will be indicated.
- Suppose the cause of bleeding after sexual intercourse is an infection. In that case, an indication of antibiotics will be required for 4 to 6 weeks, depending on the type of bacteria that is producing the infectious picture.
- Bleeding from trauma should be controlled with anticoagulant medications. In the same way, it will proceed if the bleeding occurs after a prostate biopsy is performed.
It would be best to remember that this alteration resolves spontaneously, around one month, when no specific causes are found.
This article is merely informative. At FastlyHeal .com, we do not have the power to prescribe medical treatments or make any diagnosis. We invite you to see a doctor if you present any condition or discomfort.
If you want to read more articles similar to Bleeding after sex in men: causes, we recommend that you enter our category of Male reproductive system.
I am a Surgeon with a diploma in comprehensive ultrasound and surgical care residency, an area I am specializing in. During the exercise of my profession, I have realized the need for patients to know the diseases they suffer, and I can tell you that a large part of their complications is due to a lack of information. Being a health web writer allows me to transmit my experience, without borders, to all those readers eager for knowledge, educate them in the prevention of diseases and promote a healthy lifestyle.