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Presentation with visible presence of blood in the semen. The blood may appear bright red (bleeding has occurred recently) or red/brown (old).
Men older than 40 years of age with haematospermia are at increased risk of a serious cause for haematospermia, such as prostate cancer or prostatitis.
In 30-70% of the cases there is no association with any significant pathology.
(Weidner W, Jantos C, Schumacher F, et al; Recurrent haemospermia--underlying urogenital anomalies and efficacy of imaging procedures. Br J Urol. 1991 Mar;67(3):317-23.)
Three factors dictate the extent of the evaluation and treatment include:
Most malignancies associated with hematospermia occur in patients older than 40 years. Recurrent haematospermia warrants more aggressive intervention to identify an etiologic factor.
For men younger than 40 years of age who have had no more than three episodes of haematospermia within one month:
If the haematospermia is secondary to:
Refer to a urologist for further assessment: