Hematospermia is defined as the presence of grossly visible blood in the semen. Although the vast majority of cases are the result of a benign condition and are self-resolving, the condition can be very distressing to the patient. While initially the blood is bright red, with time the usual degradation of blood products will result in changes in color to rust and brown in nature. In cases where it is unclear if the discoloration is blood, especially when very dark and a malignant melanoma is considered, early evaluation is warranted. As apparent blood in semen may actually result from contamination of semen with blood from the patient’s sexual partner, this also needs to be ruled out. In general, the goal of evaluation is to identify underlying treatable or serious pathologic conditions.
KeywordsSeminal Vesicle Tuberculin Skin Test Sexually Transmitted Infection Ejaculatory Duct Urethral Meatus
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