Case: In June this year, Mr. Yang, 41, found that the ejaculated semen was bright red after a one-time life, and the urethral orifice was also feverish and slightly painful. He was shocked. What happened? I thought it would be all right in two days, but the semen from the second sexual life turned brown again. In addition, when defecating, the urethral orifice will drop a few drops of red secretions, scaring Mr. Yang no longer dare to have sex. There were red blood cells in Mr. Yang’s urine, and color Doppler ultrasound confirmed that it was bilateral seminal vesiculitis, accompanied by prostatitis. The truth came to light that it was hemospermia caused by seminal vesiculitis. After taking Chinese and Western medicine, prostatitis improved, but hemospermia did not improve.
Semen suddenly changes from normal milky white to red or mixed with blood, of course, mixed into the blood. So where does the blood come from? It should be a pathological change in a tissue along the sperm pathway, such as bleeding, inflammation, or even a tumor. Semen, in addition to sperm, is mainly composed of seminal vesicle, prostate, bulbourethral gland and other secretions. The wall of the seminal vesicle is very thin, and once it is congested, the wall of the vesicle, which is full of blood vessels, is prone to bleeding. In fact, the seminal vesicle, prostate and posterior urethra are interlinked, and inflammation can easily spread from one of them to the other two. Therefore, the most common cause of hemospermia is seminal vesiculitis, followed by prostatitis, urethritis and so on.
Some studies suggest that seminal vesiculitis can affect the quality of sperm. When suffering from seminal vesiculitis, the composition of seminal plasma changes, bacteria will engulf the nutrients in seminal plasma, compete for oxygen, discharge toxins and metabolites, which undoubtedly makes sperm face a very unfavorable environment. In addition, the seminal vesicle secretion of fructose is the “energy” of sperm swimming, if the seminal vesicle inflammation, the secretion of fructose will be reduced, sperm motility is insufficient, resulting in decreased fertility.
Prostatitis is easy to recur, drinking, sedentary, too frequent or too little sexual life can induce the disease, and prostatitis can induce seminal vesiculitis. Seminal vesiculitis looks scary, but it is not malignant, nor will it turn malignant. It can be cured, but it is not easy to eradicate, so don’t worry. In life, try not to eat pepper, alcohol, hot water sitz bath also helps to alleviate the disease.
Because the semen accumulated in the seminal vesicle can not be emptied by ejaculation, hemospermia often lasts for a period of time. Have sex at least twice a week if you want to empty your seminal vesicles. If seminal fluid is bright red, explain it is to just bleed, can control sexual life; If it is brown, it shows that it is old bleeding, and sexual life can be increased appropriately.