Laboratory parameters of the 1st order – obligatory laboratory tests.
- Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, blood), sediment, if necessary urine culture (pathogen detection and resistogram, i.e. testing of suitable antibiotics for sensitivity/resistance) and urine cytology; midstream urine.
- If necessary, macroscopic and microscopic examination of the ejaculatory fluid – to distinguish true hemospermia from sperm discoloration due to another cause.
2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification (in recurrent hemospermia).
- Small blood count
- Differential blood count
- Inflammatory parameter – CRP (C-reactive protein)
- Coagulation parameters – PTT, Quick
- PSA (prostate specific antigen) (in men > 40 years of age).
- Uric acid
- Urethral swab (urethral swab)
- Ejaculate cultures – if urotuberculosis is suspected.