Blood in semen (haematospermia)Semen mein khoon (haematospermia)

Yeh alamat kya hai

Semen mein khoon (haematospermia) ka matlab hai ke semen gulabi, surkh, bhura nazar aaye, ya is mein lakeeren ya lothray khoon ke hon. Yeh aam tor par ejaculation par nazar aata hai, aur bilkul dard ke baghair ho sakta hai. Purana khoon bhura ya zang jaisa nazar aata hai aur jima mein waqfay ke baad aam hai.

Bohat se mard fikr karte hain ke yeh cancer ya jinsi infection ka matlab hai, aur isay chhupa lete hain. Meherbani karke aisa na karein. Yeh aam tor par beneqsan hota hai, aur doctor se jaldi baat karne se tasalli milti hai.

Aam wajohat

• Soojan ya infection prostate, seminal vesicles ya peshab ki nali ki. Is ke saath ejaculation par dard, peshab mein jalan, pelvis mein dard, ya discharge ho sakta hai (dekhein penis ya ejaculation ke dard ki guide).
• Jinsi taluq se lagne wala infection. Is se semen mein khoon aa sakta hai aur yeh khamosh bhi ho sakta hai. Test raazdari se hota hai, aur saathi ko bhi ilaaj chahiye.
• Prostate ki biopsy ya doosre procedure ke baad. Is ke baad kuch hafton tak semen mein khoon aam hai aur aksar khud theek ho jata hai. Aap ke urologist batayenge ke kya umeed rakhein.
• Chot ya tanaao, maslan groin par waar, bhari wazan uthana, ya ejaculation mein lambe waqfay ke baad jima.
• Blood pressure ki zyadati, ya khoon patla karne wali dawaiyan, jin se khoon behne ka imkaan barhta hai. Meherbani karke koi dawai khud na chhorein. Pehle apne doctor se baat karein.
• Barhi hui prostate (BPH) ya ghudood mein chhoti pathri ya cyst (dekhein enlarged prostate guide).
• Peshab ya jinsi nizam ki TB kam aam wajah hai, aur un mardon mein zyada hai jinhein TB ho chuki ho ya jahan yeh aam ho.
• Cancer prostate, bladder ya testicle ka kam aam wajah hai, lekin jaanch ka mashwara isi liye diya jata hai, khaas tor par 40 se oopar ke mardon ke liye ya jab khoon baar baar aaye (dekhein prostate cancer guide).
• Koi wajah nahi milti. Bohat se mardon mein, khaas tor par naujawanon mein aik baar ke daure mein, tests normal hote hain aur khoon dobara nahi aata.

Jaanch aam tor par kaise hoti hai

Aap ke doctor poochhenge ke yeh kitni baar hua, kya dard, jalan, bukhar, peshab mein khoon, haali procedure ya chot hai, aap ki umar, aur koi dawaiyan ya pehle TB. Woh aap ka blood pressure dekhenge, aur penis, groin, scrotum aur aam tor par prostate ka muaina karenge. Aam tests yeh hain:

• Peshab ka test, infection aur khoon ke liye.
• Swab ya pehle peshab ka sample, agar jinsi taluq se lagne wale infection ka imkaan ho.
• Khoon ka test, jis mein khoon jamne ka jaiza bhi shamil hai agar aap ko aasani se khoon behta ho.
• PSA khoon ka test, kuch mardon mein, umar aur khatre ke mutabiq, is baat par guftagu ke baad ke result kya bata sakta hai aur kya nahi (guide jald aa rahi hai).
• Ultrasound, prostate, seminal vesicles, scrotum aur kidneys ka.
• Prostate ka MRI scan agar khoon baar baar aaye ya doosre tests wazeh na hon (guide jald aa rahi hai).
• Bladder aur peshab ki nali ka camera test, agar peshab mein bhi khoon ho ya wajah na mile.

Ab kya karein

• Aise doctor ko dikhayein jis par aap bharosa karte hain, aur saaf batayein ke aap ne kya dekha aur kitni baar. Aap tanhai mein dikhane ke liye keh sakte hain.
• Andaaz note karein. Kitni baar hua, rang kaisa tha, aur kya dard, jalan ya haali procedure thi. Chhota sa note aap ke doctor ki madad karta hai.
• Medical store se antibiotics na kharidein, aur jari booti, hakeem ya jinsi taqat ki cheezein istemal na karein. Yeh infection chhupa sakti hain, sahi ilaaj mein deri kar sakti hain aur kabhi khoon behne ka sabab banti hain.
• Likhi hui dawaiyan khud na chhorein, blood pressure ki goliyan ya khoon patla karne wali dawaiyan samait. Pehle doctor se poochhein.
• Dikhane aur ilaaj hone tak jinsi taluq se parhez karein, aur agar karein to condom istemal karein. Agar infection nikle to poochhein ke saathi ka bhi muaina hona chahiye.
• Har qism ka tambaku chhor dein. Tambaku peenay aur chabane se bladder aur doosre cancers ka khatra barhta hai, aur chhorna har wajah mein aap ki sehat ke liye achha hai.
• Din bhar paani peeyein aur bhari wazan uthane aur zor lagane se bachein jab tak yeh theek ho raha ho.
• Urologist ko dikhayein agar yeh aik se zyada baar ho, aap 40 se oopar hon, peshab mein khoon ho, ya dard, bukhar ya gaanth ho.

Aam sawalaat

What this symptom is

Blood in the semen (haematospermia) means the semen looks pink, red, brown or has streaks or clots of blood. It is usually seen at ejaculation, and may come with no pain at all. Old blood looks brown or rusty and is common after a gap in sex.

Many men are worried that it means cancer or a sexual infection, and keep it secret. Please do not. It is usually harmless, and speaking to a doctor early brings peace of mind.

Common causes

• Inflammation or infection of the prostate, the seminal vesicles or the urine tube. It may come with pain on ejaculation, burning when passing urine, an ache in the pelvis, or discharge (see the penile pain or pain on ejaculation guide).
• An infection passed on by sexual contact. It can cause blood in the semen and may also be silent. Testing is private, and partners need treatment too.
• After a prostate biopsy or other procedure. Blood in the semen is common for some weeks afterwards and usually settles by itself. Your urologist will tell you what to expect.
• An injury or strain, such as a blow to the groin, heavy lifting, or a long gap between ejaculations followed by sex.
• Raised blood pressure, or medicines that thin the blood, which make bleeding more likely. Please do not stop any medicine on your own. Speak to your doctor first.
• An enlarged prostate (BPH) or a small stone or cyst in the glands (see the enlarged prostate guide).
• Tuberculosis of the urinary or genital tract is a rare cause, and is more likely in men who have had TB or live where it is common.
• Cancer of the prostate, bladder or testicle is a rare cause, but it is the reason a check is advised, especially for men over 40 or when the bleeding keeps coming back (see the prostate cancer guide).
• No cause found. In many men, particularly younger men with a single episode, tests are normal and the bleeding does not return.

How it is usually investigated

Your doctor will ask how often it has happened, whether there is pain, burning, fever, blood in the urine, a recent procedure or injury, your age, and any medicines or past TB. They will check your blood pressure, and examine the penis, groin, scrotum and usually the prostate. Usual tests are:

• A urine test, for infection and blood.
• A swab or first-catch urine sample, if an infection passed on by sexual contact is possible.
• A blood test, including a check of blood clotting if you bleed easily.
• A PSA blood test, in some men, depending on age and risk, after a discussion of what the result can and cannot tell you (see the PSA test guide).
• An ultrasound scan, of the prostate, seminal vesicles, scrotum and kidneys.
• An MRI scan of the prostate if the bleeding keeps coming back or other tests are not clear (see the MRI of the prostate guide).
• A camera test of the bladder and urine tube, if there is also blood in the urine or the cause is not found.

What to do next

• See a doctor you trust, and say plainly what you have seen and how often. You can ask to be seen in private.
• Note the pattern. How many times it has happened, the colour, and whether there was pain, burning or a recent procedure. A short note helps your doctor.
• Do not buy antibiotics from a counter, or use herbal, hakeem or sexual-strength products. They can hide an infection, delay the right treatment and sometimes cause bleeding.
• Do not stop prescribed medicines on your own, including blood pressure tablets or blood thinners. Ask your doctor first.
• Avoid sex until you have been seen and treated, and use a condom if you do have sex. If an infection is found, ask whether your partner should also be checked.
• Stop all tobacco. Smoking and chewing tobacco raise the risk of bladder and other cancers, and quitting helps your health whatever the cause.
• Drink water through the day and avoid heavy lifting and straining while it is settling.
• See a urologist if it happens more than once, if you are over 40, if there is blood in the urine, or if there is pain, fever, or a lump.

Common questions