Diagnostic Points of Hematospermia: (1) Hematospermia can be diagnosed when bloody semen can be seen by naked eye and is often accompanied by lumbosacral pain and a feeling of distension in the perineum. (2) Whenever a patient complains of hematospermia, laboratory tests should be performed and the diagnosis can be established by finding multiple red blood cells in the semen. (3) Hematospermia can be diagnosed when the semen is red and the urine is clear. Hematospermia often resolves on its own. Common causes of hematospermia include: (1) Diseases of the seminal vesicles and prostate, such as seminal vesiculitis, prostatitis, tuberculosis of the prostate and seminal vesicles, schistosomiasis, stones, and injuries. (2) Tumors, such as carcinoma of the seminal vesicles and prostate, papilloma of the seminal mound, benign prostatic hypertrophy. Be careful, especially for patients over 40 years old, first of all, to exclude, (3) blood diseases, such as purpura, scurvy, leukemia, and so on. (4) excessive frequency of sexual intercourse or long-term abstinence, sexual tension can not be released caused by organ congestion (5) other, such as varicose veins of the seminal vesicles, perineum, long-term repeated pressure, cirrhosis with increased portal vein pressure to the hemorrhoidal venous plexus through the lateral branches of the prostate plexus pressure is also increased, the spermatogonium next to the posterior urethral subepithelial vein dilatation rupture, and so on. The identification of hematospermia 1, hematospermia and hematuria discharged from the urethra together, but the two are easier to identify. The former is the semen discharged during intercourse or the semen that slips out, and there is blood in the center of it; the latter is the blood that comes out with the urine, making the urine appear red. 2, from the erection of the blood-filled urethral mucosa out of the blood is bright red, not mixed with semen, like mixed blood. Various inflammation and trauma caused by blood semen mixed evenly, red to coffee color, this is due to the blood stored for a long time the color has changed, blood semen laboratory tests 1, urine and semen analysis 2, prostate fluid examination routine + culture + drug sensitivity Clinical laboratory tests to collect secretion specimens should pay attention to the rectal diagnosis of the pressure area in relation to the secretion of the first massage of the prostate gland to collect the prostatic fluid, urination and then massage the left and right seminal vesicle glands, collect semen After urination, the left and right seminal vesicle glands are massaged to collect seminal vesicle gland fluid, which helps in the differential diagnosis of the two. If necessary, seminal vesicle adenography can be performed to clarify the diagnosis. Laboratory examination can find a large number of red blood cells in semen. 3, ultrasound examination can choose transrectal ultrasound examination, can check the calcification stones and so on this is better, recommended 4, contrast X-ray examination, 5, cystourethroscopy principles of hematospermia principles of hematospermia treatment is basically the same (in addition to tumors, tuberculosis, etc. need special treatment), 1, acute bleeding during the period of the main is to abstain from intercourse, hematospermia disappeared should still be rested for 1-2 weeks, the recovery should not be frequent sexual intercourse. After the recovery of sexual intercourse should not be too frequent and intense; 2, avoid drinking alcohol and spicy stimulating food, so as not to aggravate the degree of congestion; 3, do not long-distance cycling, horseback riding; 4, weekly seminal vesicle glands prostate massage to help discharge inflammatory secretions; 5, hot water sitz bath once a day, each time for 15-20 minutes, the water temperature of 41-42 ° C (30 days a course of treatment, rest 10 days before the next course of treatment); 6, antibiotics such as penicillin, gentamicin, kanamycin (intramuscular injection, local ionic introduction, etc.); 7, haemostatic drugs, such as vitamin K, Anluo blood, etc. Symptomatic treatment is also necessary. 8, can also be used physiotherapy, traditional Chinese medicine treatment 9, psychological treatment, emphasizing that the vast majority and sexual function has no effect, the precautions of blood semen 1, due to the accumulation in the seminal vesicle glands in the semen is not a single ejaculation can be emptied, even if you get timely and adequate treatment, the blood semen will continue for a period of time before disappearing. 2, most of them are caused by inflammation 3, psychological treatment is important