The anamnesis (medical history) represents an important component in the diagnosis of hemospermia (blood in the ejaculate).
Family history
Social history
- What is your occupation?
- Are you exposed to harmful working substances in your profession?
Current medical history/systemic medical history (somatic and psychological complaints).
- When did you first notice blood in the ejaculate?
- Has it occurred continuously since then?
- Have you also noticed blood in your urine?
- Do you have any pain? If so, where exactly is the pain localized?
- Have you noticed any injury?
- Do you have any other complaints? If so, what are they?
Vegetative anamnesis incl. nutritional anamnesis
Self anamnesis incl. medication anamnesis
- Pre-existing conditions (renal disease, urological disease, infections).
- Operations (urological operations)
- Radiotherapy
- Allergies
- Medication history
Medication history
- Alteplase (recombinant tissue-type plasminogen activator, rt-PA).
- Anticoagulants
- Coumarins (phenprocoumon* (product names: Marcumar, Falithrom); warfarin (product names: Coumadin, Marevan); acenocoumarol (product name: Sintrom).
- Direct inhibitors of thrombin (Argatroban, Lepirudin).
- Heparin analogues (fondaparinux).
- Heparins (certoparin, dalteparin, enoxaparin, nadroparin, reviparin, tinzaparin).
- Heparinoids (danaparoid
- Antiplatelet agents (abciximab, acetylsalicylic acid (ASA), combination of acetylsalicylic acid and dipyridamole, clopidogrel, eptifibatide, ilomedin (prostacyclin analog), prasugrel, ticagrelor, ticlopidine, tirofiban)
- New oral anticoagulants (NOAK; NOAC).
- Direct factor Xa inhibitor (apixaban, edoxaban, rivaroxaban).
- Direct and selective factor Xa inhibitor (apixaban).
- Selective thrombin inhibitor (dabigatran).
- NSAID (non steroidal anti inflammatory drugs) – acemetacin, etoricoxib, indometacin, ketoprofen, meloxicam, phenylbutazone, piroxicam.
