What is hematospermia?

Hematospermia is when there is blood in the semen. This condition often occurs without any other symptoms, and is typically benign and self-limiting. In very rare instances this may be a sign of a more serious condition and therefore evaluation by a urologist is warranted. Conditions that cause hematospermia are infection and inflammation of the prostate or seminal vesicles and rarely, cancer.


A urological evaluation of hematospermia may involve a detailed history of the problem, a urine analysis, a DRE (Digital Rectal Exam), and a PSA (Prostate Specific Antigen). If the symptoms persist for a long period of time, a transrectal ultrasound to evaluate the prostate and seminal vesicles may be necessary.