Blood in the Ejaculate or Haemospermia

Blood in Ejaculate (Hemospermia): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). External genitals Palpation (palpation) of the abdomen (abdomen) (pressure pain?, knock pain?, release pain?, cough pain?, … Blood in Ejaculate (Hemospermia): Examination

Blood in Ejaculate (Hemospermia): Test and Diagnosis

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 … Blood in Ejaculate (Hemospermia): Test and Diagnosis

Blood in Ejaculate (Hemospermia): Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic workup Transrectal prostate ultrasonography (TRUS; ultrasound using an ultrasound probe inserted into the rectum) including examination of the two seminal vesicles (glandula vesiculosa, vesicula seminalis); in more than 80% of … Blood in Ejaculate (Hemospermia): Diagnostic Tests

Blood in Ejaculate (Hemospermia): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate hemospermia: Leading symptom Hemospermia (blood in the ejaculate; blood in the semen). Warning signs (red flags) Anamnestic information: Men > 40 + recurrent (repeated) occurrence of hemospermia → think of: malignant neoplasms (prostate, seminal vesicles, etc.). Pain during defecation (bowel emptying) → think of: Prostatitis (inflammation of the … Blood in Ejaculate (Hemospermia): Symptoms, Complaints, Signs

Blood in Ejaculate (Hemospermia): Therapy

Therapy for hemospermia depends on the cause (blood pressure adjustment, if necessary; correction of existing anticoagulant/anticoagulant therapy). In case of infection with evidence of pathogens, targeted antibiotic therapy is required. In case of hyperuricemia (elevation of uric acid level in blood), uricostatic therapy (inhibition of synthesis of uric acid) should be initiated. Surgical therapy is … Blood in Ejaculate (Hemospermia): Therapy

Blood in Ejaculate (Hemospermia): Medical History

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 … Blood in Ejaculate (Hemospermia): Medical History

Blood in Ejaculate (Hemospermia): Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Cysts of the glandulae seminales (seminal vesicles; congenital or acquired). Blood, hematopoietic organs – immune system (D50-D90). Hemophilia/blood clotting disorders, unspecified. Endocrine, nutritional, and metabolic disorders (E00-E90). Hyperuricemia (elevation of uric acid levels in the blood). Cardiovascular system (I00-I99). Malignant hypertension – severe form of high blood pressure … Blood in Ejaculate (Hemospermia): Or something else? Differential Diagnosis