Seventy years old with hematospermia needs to be treated. Hematospermia is just a symptom, and there are many reasons for the symptoms of hematospermia, which may be an acute infection of the genitourinary system, such as prostatitis, seminal vesiculitis, orchitis, epididymitis, etc. In addition, we should also consider whether there are malignant tumors and other diseases, such as bladder cancer, prostate cancer, testicular cancer, etc. Therefore, seventy years old with hematospermia still need treatment. If you are seventy years old and have hematospermia, you should carry out appropriate physical examination (abdominal percussion, palpation; testicular visual diagnosis, palpation; rectal diagnosis of the prostate, etc.), as well as auxiliary examination (blood routine, urine routine, semen routine, coagulation function, prostate ultrasound, pelvic CT, etc.), so as to clarify the cause of the disease and target the treatment. If there are symptoms of hematospermia, please consult the hospital in time and actively diagnose and treat the disease to avoid delay.