Blood in Semen (Hematospermia)

Blood in your semen is called hematospermia. It may be stressful to see, but in many cases it's not a sign of a serious problem. It may be caused by an infection or inflammation. It’s a common after-effect of a prostate biopsy, vasectomy, or other procedure. In some people, the cause isn't found but the bleeding stops over time.

Blood in semen may be caused by any of these:

• Enlarged vein in the prostate gland

• Enlarged prostate gland (benign prostate hyperplasia)

• Infection in any tube that sends fluid out of the penis

• Infection of the prostate gland

• Injury from prostate biopsy

• Injury to the pelvis or testicles

• Radiation therapy

• Sexually transmitted infection (STI)

• Vasectomy

In some cases, the bleeding may be caused by any of these:

• Bleeding disorder

• Frequent ejaculation

• Growth such as a polyp, cyst, or cancer tumor

• High blood pressure

• HIV

• Kidney disease

• Leukemia

• Liver disease

The healthcare team will ask you questions about your:

• Sexual history

• Recent injury

• Recent procedures

• Any other symptoms

To find the cause, a healthcare provider will examine your penis. They will give you a digital rectal exam (DRE). This means a healthcare provider uses their finger to feel for growths or other problems in the prostate area.