Haemospermia - blood in the sperm
Definition of Haemospermia: the presence of blood in the semen. Usually intermittent, benign, self-limiting and no cause identified. Causes: Age <40 years : usually inflammatory (e.g. prostatitis, epididymo-orchitis, urethritis, urethral warts) or idiopathic (though to an extent this reflects the limited investigation that is usually carried out in this age group). Rarely testicular tumour; perineal or testicular trauma. Age >40 years : as for men aged <40 prostate cancer; bladder cancer; BPH; dilated veins in the prostatic urethra; prostatic or seminal vesicle calculi; hypertension; carcinoma of the seminal vesicles. Rare causes at any age: bleeding diathesis; utricular cysts; Mallerian cysts; TB; schistosomiasis; amyloid of prostate or seminal vesicles; post-injection of haemorrhoids. Examination: Examine the testes, epididymis, prostate, and seminal vesicles. Measure blood pressure. Investigation: Send urine for culture. If the haemospermia resolves, an