Blood in the ejaculate - Causes and Symptoms

Related articles: Blood in the ejaculate


Emospermia consists of the presence of blood in the sperm. Most often, it is an idiopathic and benign manifestation, which resolves spontaneously within a few days or months.

The sperm is composed of the spermatozoa produced in the testicles and the liquid (seminal plasma) produced by seminal vesicles, prostate, spermatic pathways and Cowper's glands (or urethral bulbs). Therefore, the blood in the ejaculate can come from anywhere along this path.

Haemospermia is frequently found following prostatic biopsy. However, it may also be due to benign prostatic hyperplasia, urinary tract infections (eg urethritis), prostate (prostatitis) or testicles (eg epididymitis).

More rarely, the presence of blood in the ejaculate is a consequence of prostate cancer, tumors of the seminal vesicles or testicles, obstructions or traumas in every part of the reproductive system.

Schistosomiasis (caused by Schistosoma haematobium, a widespread parasite especially in Africa) can invade the urinary tract, causing haematuria and hemospermia. This possibility, however, is to be taken into consideration only in men who have gone to areas where the disease is endemic.

When the appearance of blood in the seminal fluid is associated with urethral secretion and tenderness with the epididymis, instead, a sexually transmitted disease may be suspected. Other causes include blood clotting disorders (eg haemophilia and chronic liver diseases) and therapies with drugs that promote bleeding (including anticoagulants or antiplatelet agents).

In the photo, the detail on glass of a ejaculate with massive presence of blood - Taken from:

Possible Causes * of Blood in the ejaculate

  • AIDS
  • Prostate cancer
  • Liver Cirrhosis
  • Coagulation disorders
  • epididymitis
  • Penile fracture
  • Hypertension
  • Beningna prostatic hypertrophy
  • Orchitis
  • Prostatitis
  • Schistosomiasis
  • Urethral stricture
  • Tuberculosis
  • Testicular cancer
  • Penile cancer
  • Urethra tumor
  • uretrite