The symptoms of hematospermia in the elderly are mainly considered to be related to the injury of reproductive organs, inflammation of the urinary system, stones in the urinary system and tumors in the urinary system. 1. Injury to reproductive organs: if the external force impacts or the action is too violent during sex, it may lead to the rupture of small blood vessels, and then the symptom of hematospermia will appear. 2. Inflammation of the urinary system: such as seminal vesicle adenitis, prostatitis and other diseases, which can lead to gonadal congestion, edema, and if the condition is serious, bleeding can occur. After mixing the semen, the symptoms of hematospermia can appear. 3. urinary stones: such as bladder stones, urethral stones, some small stones in the urethra, after entering the urethra, may scratch the mucous membrane of the urethra, triggered by bleeding, and then in the ejaculation of the symptoms of blood sperm. 4. Urological tumors: such as seminal vesicle tumors, prostate tumors, etc., after being compressed, some patients may experience bleeding tumors, which may lead to hematospermia. No matter what kind of cause of hematospermia, we should pay attention to it and seek medical treatment as soon as possible.