Haematospermia

Haematospermia ( Hematospermia in US ) or Hemospermia is presence of blood in ejaculate

Self limiting in most case but alarming for patients and provokes anxiety Most men with HS are young ( < 40 yrs ) & it mat occur as a single episode or repeatedly over time Incidence is difficult to predict as○ men usually do not check semen & may go unnoticed ( ie covert presentation )○ patient embarrassment○ self-limiting nature Most common causes are○ infection ( usually in people < 40 )○ iatrogenic - less common now ( better imaging etc ) Most cases can be managed in primary care HS may be associated with pathology of

Causes- Urethritis , prostatitis , epididymitis Genito-Urinary TB CMV , HIV Schistosimiasis , hydatid Urinary tract infection Condylomata of urethra & meatus Systemic causes -Uncontrolled hypertension Bleeding disorders Lymphoma Leukaemia Chronic infections as○ TB○ Schistosomiasis○ Amyloidosis ( rare ) Haemophilia Purpura Scurvy Liver cirrhosis Tumours- Prostate Bladder Seminal vesicle Urethra Testis- epididymis Melanoma

History-Age of patient ,timing , frequency , how long R/O pseudo-haematospermia ie blood coming from patients partner , intense sexual behaviour Colour of semen○ bright red without clots suggests fresh bleeding○ brown - older blood Associated...