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I am having a bloody discharge in my semen. What can be causing this.
Sent to Health Experts July 07 09:17 PM

everytime I cum there is always blood in it. Sometimes it is real red like it is fresh blood and other times it is a darker color like it may be older blood. It really has me worried.

 

Optional Information:
Male , Age: 55

Already Tried:
A urologist at the va hospital has me on a antibiotic. Told me to take it for 3 weeks because I could have an infection. I'm almost out of medicine and there has been no change in my semen discharge

Customer (name blocked for privacy)
Status:  Closed   Value: $8
Answer
July 7 9:31 PM (13 minutes and 51 seconds later)
         
REPLIEDCheck Mark
Hi
The urologist is definitely the right type of doctor for this problem.

It is possible that a different antibiotic may be needed. If I were you after 3 weeks of no improvement, I would insist on a test.
Obviously a physical exam is the first evaluation step needed. Hopefully he examined your penis, scrotum and testiclesand prostate gland(this gland is examined by finger in the rectum).

An ultrasound of the scrotum and testicles will reveal if there is a cyst, abscess or mass. A tumor (cancer or benign) would be the #1 worry at this point.
It is possible that a CAT scan may be needed.
A PSA is a blood test which is very good in diagnosing prostate cancer. This is a test which is done routinely as men get older. You are young for prostate cancer, but it can occur in the 50's.

Good luck. I hope this turns out to be nothing serious.
Let me know if I can answer anything else for you.

Thanks
Dr. F

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Dr. F. -- Doctor (MD) -- 100% Positive Feedback on 49 Health Accepts
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Reply
July 7 9:37 PM (6 minutes and 16 seconds later)
         
Reply to Dr. F.'s Post: I Have had a prostate exam plus psa test and everything there looks great. Are you saying it could be some time of cancer? If so is there anymore symtoms I should look for. Please let me know what all it could be. I will go back to the va and insist on the tests. Thanks
Customer (name blocked for privacy)
Answer
July 7 9:52 PM (15 minutes and 5 seconds later)
         
ACCEPTEDCheck Mark
The prostate exam and PSA are quite good for determining prostate problems. That part is probably OK.

There are several sets of tubes which come in contace with or are involved in the production of semen. The testicles, vas deferens, cowpers glands, seminal vesicles and the semen eventually passes through the urethra (common path for urine and semen). Abnormalities at any of these spots can cause bleeding. Painless bleeding witho9ut fever, swelling etc. is a strong suspicion of a tumor/cancer. I do not want to scare you, but as physicians we treat for the most likely problem(in this case your physician felt infection was most likely) OR we treat for the worst possible problem(in general that would be a cancer)

The tests are simple and non-invasive. The most invasive would be a cystoscopy which is a tube inserted though the penis into the bladder to visually inspect the interior of the bladder. If the blood is NOT in the urine and only in the semen, they may not even do this.

Nevertheless, be sure to contact the urologist promptly and tell him/her that the blood had NOT improved even though you have been taking the medication regularly and ask what is the next step.

Good luck!!
Dr. F

Please click ACCEPT if this information has been helpful to you.POSITIVE FEEDBACK and a BONUS is always appreciated. Thanks
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Dr. F. -- Doctor (MD) -- 100% Positive Feedback on 49 Health Accepts
Board certified in Internal Medicine, Pulmonary and Sleep Disorders
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