Blood in semen

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When to see a doctor

By Mayo Clinic staff

If you're over 40, see your doctor after noticing blood in semen, even if you have no other symptoms. Whether a man under 40 needs to see a doctor depends on other symptoms and risk factors.

After seeing blood in semen, wait and watch for symptoms before calling your doctor if you're under age 40 and:

  • You have no other symptoms
  • You've had a recent prostate exam or vasectomy to explain short-term bleeding
  • There isn't a lot of blood in the semen, and you see it infrequently before it goes away

Make an appointment with your doctor if:

  • You're over 40
  • You have other symptoms, such as genital or urinary pain, pain during ejaculation, fever, difficulty urinating, or blood in your urine
  • You have other risk factors, such as a history of cancer, bleeding disorders, trauma, or genital or urinary system malformation, or you've recently engaged in behaviors that put you at risk of sexually transmitted diseases
References
  1. Stefanovic KP, et al. Evaluation and treatment of hematospermia. American Family Physician. 2009;80:1421.
  2. Torigian DA, et al. Hematospermia: Imaging findings. Abdominal Imaging. 2007;32:29.
  3. Leocadio DE, et al. Hematospermia: Etiological and management considerations. International Urology and Nephrology. 2009;41:77.
MY01214 May 18, 2010

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