Hi, was hoping to get some insights into my haematospermi I currently have. About 1 year ago after a trip to Greece I noticed my semen was almost brown, which cleared through pretty quickly. Since then I had several reoccurrences, but more red coloured sperm and spaced apart by a few weeks. I was a little concerned as you can imagine so booked in with GP, who performed a urine test there and send some away (both came back normal) On top of this I had a physical prostate exam and blood test. I have private medical insurance so was referred to a Urologist, who again performed a physical prostate exam and a PSA blood test. The Dr explained how common this is and most of the time is a begine condition that will clear up. He said that if my PSA and blood test comes back fine then I have nothing to worry about. My bloods came back all within range and the PSA I had were 1.08 and 1.18
I did feel reassured and thought nothing more of it, until I had several more episodes during the rest of last year. I did have around 2 months of normal ejaculate until Jan this year when I started ejaculating blood again, so decided to go for a second opinion (private), and have had an MRI on prostate ( no discernible tumour, focus blood degradation products in right seminal vesicle). Also had an ultrasound upper tracts which came back normal. As a second opinion I was reviewed at the MDT discussion and response was the MRI showed no concerning features that required any further follow up. However as I was still incredibly anxious he booked me in for another ultrasound but of my testies and also a flexible cystoscopy. The results from my flex were ‘normal anterior and posterior urethra with non-occlusive prostate and a normal bladder neck. The bladder was inspected 3 times and was macroscopically normal. Both ureteric orices were seen at the inter-ureteric bar’. The results from my ultrasound scan of testes was ‘commensurate with epididymitis’.
My Doctor did sign me off after prescribing another 28day course of Doxycycline 100 mg and put the haematospermia cause down to lifestyle (I do 4-5 HIT sessions a week as well as cycle). I did ask if the infection could be the root cause of this and was told it was not, which really confused me as one of the main symptoms of epididymitis is blood in semen, which is the main reason for the incredibly long post. What are your opinion on the infection being root cause of this as I am still encountering red/brown semen.
Also how long could I have had this infection (way back to last March, when this all started) and how long can it take to clear up?
Any thoughts opinions most welcome
Cheers
Si