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How is blood in semen (hematospermia) tested for and evaluated?

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To diagnose blood in the semen the doctor will take a complete medical history. That will include a history of any recent sexual activity. The doctor will also perform a physical exam. This will include examining the genitals for lumps or swelling and a digital rectal exam to check the prostate for swelling, tenderness, and other symptoms. The doctor may also ask for the following tests:

  • Urinalysis or urine culture to identify infection or other abnormalities.
  • Sexually transmitted disease testing if an STD is suspected.
  • The "condom test" if there's a possibility that blood in the semen is actually coming from a sexual partner's menstrual cycle. The man will be told to wear a condom and then examine the "protected" semen for blood.
  • PSA testing, to test for prostate cancer by measuring a substance called prostate-specific antigen in the blood.
  • Other urological tests such as cystoscopy, ultrasound, CT scan, and MRI to further evaluate the patient.

From: Blood in Semen (Hematospermia) WebMD Medical Reference

SOURCES:

American Academy of Family Physicians: "Evaluation and Treatment of Hematospermia."

Harvard Medical School: “Prostate Knowledge: Hematospermia Demystified."

Leocadio, D.E. , 2009. International Urology and Nephrology

UCLA Department of Medicine: "Hematospermia."

American Urological Association: "Management of Spontaneous Prostrate Related Bleeding."

National Cancer Institute: "Cancer Stat Facts: Prostate Cancer."

Reviewed by Jennifer Robinson on August 12, 2019

SOURCES:

American Academy of Family Physicians: "Evaluation and Treatment of Hematospermia."

Harvard Medical School: “Prostate Knowledge: Hematospermia Demystified."

Leocadio, D.E. , 2009. International Urology and Nephrology

UCLA Department of Medicine: "Hematospermia."

American Urological Association: "Management of Spontaneous Prostrate Related Bleeding."

National Cancer Institute: "Cancer Stat Facts: Prostate Cancer."

Reviewed by Jennifer Robinson on August 12, 2019

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What is the treatment for blood in semen (hematospermia)?

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