## What can it be? The appearance of blood in the semen is called hemospermia. It comes true and false. When the first sperm is uniformly colored in a reddish-brown color when false, individual threads and clots of blood can be distinguished in the sperm. There can be many diagnoses, so it is useless to browse the internet in search of an answer. Only a urologist can determine the cause. Let’s look at the possible causes: - Traumas of the urethra or scrotal organs due to excessive sexual activity, transurethral examinations, and even tight underwear. - Cysts of the ejaculatory tract and seminal vesicles. - Inflammatory processes in the genitourinary system arising from sexually transmitted diseases such as chlamydia, gonorrhea, ureaplasmosis, or inflammatory diseases (orchitis, prostatitis, etc.). - Urethritis, colliculitis, prostatitis are caused by an infection in the urethra. - [Tuberculosis](https://ul.orna.me/KOge/librarydisease?id=26), including its extrapulmonary forms, the tropical parasitic disease schistosomiasis, or viral lesions. - Formation of stones and calcinates in the prostate, seminal streams, and urethra. - Condylomas and polyps — benign masses in the urinary tract. - Varicose diseases of pelvic veins. - [Arterial hypertension](https://ul.orna.me/KOge/librarydisease?id=173). - Tumors in the prostate, testicles, bladder, and blood cancers. - Consumption of anticoagulants. - Rare pathologies such as chronic liver disease, amyloidosis, hemophilia, and hemorrhagic purpura. ## When is it time to see a doctor? If blood in the semen appears repeatedly — single cases are usually not indicative. It is important to remember that hemospermia is not a disease, but a symptom. Therefore, when making a diagnosis, it is important to pay attention to the accompanying complaints: - elevated body temperature; - pain during urination and/or ejaculation; - weakened flow of urine; - the feeling of incomplete bladder emptying; - the false urge to urinate; - lower back, abdominal, and groin pain; - impaired libido. ## What tests will I have to undergo? In order for a specialist to make the right diagnosis, it will be necessary to take blood and urine tests, a spermogram, and a coagulogram. Additionally, the doctor will check for STDs. The doctor will assess the epidemiological, family, and sexual history, and the duration, frequency, and timing of the symptom. The doctor will also conduct a physical and rectal examination as well as prescribe a pelvic ultrasound and prostate ultrasound. Depending on their results, treatment will be prescribed.