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Friday, June 05, 2009 bushpilot asks

Q: I have had 3 episodes of blood in my semen over the last 10 months

over the last 9 months I have had 3 episodes of blood in my semen. The first 2 times it stopped after about a week with some residule lasting a few days after. This time has only been 2 days however it seems like it is quite a bit more than the last 2 times. I do have a very good sex life and no problems getting and maintaining an erection. In fact we usually have sex 2 times a day and very vigorous events. That is usually when the blood occurs. I do not use any drug to induce an erection and can maintain it for 3 or more ejaculations. Can I be breaking a blood vessel or could this be something very serious? BTW I am 56 years old.

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6/ 9/09 11:54am

Blood in the semen is called hematospermia. It is usually a self-limited condition that tends to be benign, but in older patients, it may rarely be associated with malignancy. Most commonly it is associated with an inflammatory condition of the prostate (such as prostatitis) or the seminal vesicles. Blood clots in the urine however may be indicative of something not related to the ejaculation, but rather in the bladder and should be further evaluated. If the blood in the semen becomes persistent, further evaluation with a urologist would be advised.

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