The treatment of blood in ejaculation and hematospermia needs to be decided according to the corresponding medical history, onset time, whether it is accompanied by related symptoms and the corresponding examination results. When the onset time is short, accompanied by pain in ejaculation or accompanied by urinary stimulation symptoms, combined with ultrasound and other related examinations, the possibility of seminal vesiculitis, prostatitis and other inflammation of the reproductive tract is considered to be high, which requires oral or intravenous antibiotic treatment, and the cycle of treatment usually takes 10-14 days. For other causes, such as seminal vesicle tumor, seminal vesicle tuberculosis is relatively rare, if diagnosed, then need to perform and seminal vesicle radical surgery or anti-tuberculosis treatment. For persistent hematospermia that is ineffective after various conservative treatments, vesicoscopy can be performed.