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Hematospermia (also known as haematospermia, hemospermia, or haemospermia) is the presence of blood in the ejaculate. It is most often a benign symptom. [1] Among men age 40 or older, hematospermia is a slight predictor of cancer, typically prostate cancer. [2] No specific cause is found in up to 70% of cases. [3]
Prostate biopsy is a procedure in which small hollow needle-core samples are removed from a man's prostate gland to be examined for the presence of prostate cancer. It is typically performed when the result from a PSA blood test is high. [ 1 ]
Presence of blood in semen (hematospermia) leads to a brownish or red coloured ejaculate. Hematospermia is a rare condition. Semen that has a deep yellow colour or is greenish in appearance may be due to medication. Brown semen is mainly a result of infection and inflammation of the prostate gland, urethra, epididymis and seminal vesicles.
In fact, only about 25% of patients with elevated PSAs are found to have prostate cancer on biopsy when 4 mg/dl is used as the cut-off for normal. In addition, some men with prostate cancer have ...
Symptoms can include vague back or lower abdominal pain; pain of the penis, scrotum or peritoneum; painful ejaculation; blood in the semen on ejaculation; irritative and obstructive voiding symptoms; and impotence. [16] Infection may be due to sexually transmitted infections, as a complication of a procedure such as prostate biopsy. [9]
The prostate secretes fluid, which becomes part of the semen. Its secretion forms up to 30% of the semen. Semen is the fluid emitted by males during the sexual response. [19] When sperm are emitted, they are transmitted from the vas deferens into the male urethra via the ejaculatory duct, which lies within the prostate gland. [19]