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What is it?

Blood in the semen (haematospermia)

If you see blood in your semen, you should contact your GP for further advice although it is unlikely that there is a worrying underlying cause.

Your GP will normally provide reassurance about blood in the semen. Most GPs will perform some simple, baseline tests. You may be commenced on antibiotics or anti-inflammatory drugs to treat presumed infection / inflammation (the commnest cause of blood in the semen).

It is not normally necessary for you to be referred for more detailed investigations, in hospital, unless your prostate gland feels abnormal, there is associated blood in the urine or your PSA blood test is abnormal.

Rarely

can it be due to cancer

Unlikely

to be caused by sexually-transmissible infection

Often resolves

either spontaneously (by itself) or with the help of anti-inflammatory drugs

Reoccurance

over a long period of time is common

blood in the semen overview

Overview

The commonest cause of blood in the semen is low-grade infection or inflammation in the seminal tract (particularly in the prostate gland). It is important to be aware that:

  • although possible, it is unlikely to be caused by sexually-transmissible infection;
    rarely, it can be due to cancer of the testis or the prostate gland;
  • if it is associated with blood in the urine, whether visible haematuria or non-visible haematuria (found on a urine test), it should always be investigated fully;
  • if it is associated with an abnormal prostate gland on rectal examination, or a raised PSA blood level, you will normally be referred to your local urology department on the “fast-track” (2-week wait) system;
  • blood in the semen usually resolves, either spontaneously (by itself) or with the help of anti-inflammatory drugs; and
  • recurrence over a long period of time is common.

I have been referred by my GP

What is the next step?

Book a consultatation with one of our highly experienced doctors. They will be able to give you an accurate diagnosis and identify potential causes of your condition.

  • Detailed questioning about your urinary tract and any related symptoms
  • A physical examination (including rectal & scrotal examination
  • Blood tests (if not already performed by your GP)
  • Examination of the urine for cancer cells (if not already performed by your GP)
  • X-rays or scans

​This may include one or more of the following:

  • MRI scan
  • ultrasound scan of kidneys & bladder
  • rectal ultrasound scan of the prostate
  • ultrasound of the scrotum
  • A flexible cystoscopy (if you have blood in your urine as well)
Book an appointment

blood in the semen

Learn more

What are the treatments for blood in the semen

Ultrasound and flexible cystoscopy. A cycstoscopy is an inspection of the bladder using a telescope (either flexible or rigid)  with an attached light source to illuminate the interior of the bladder. Find out more by downloading this PDF Flexible cystoscopy

What are the treatment costs?

Consultation costs

Consultations: £195

Follow up appointments: £150

Treatment costs

Cost of renal ultrasound:

Cost of flexible cystoscopy under LA – outpatient: £770

Cost of flexible cystoscopy under GA – inpatient: £1782

If you have any further queries regarding finance and your treatment cost – then please contact us on 0117 980 4118

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