Hematospermia is a common disease of male reproductive system, and its main symptom is that the ejaculated semen is mixed with blood, which is often manifested as pink, red, brownish red or with blood. There are also some blood semen under the microscope, from the appearance of the blood is not visible performance, only under the microscope can be found in a small number of red blood cells. Generally 30-40 years old young adults with strong sexual activity are common, and most of them are intermittent episodes. First, the etiology of hematospermia The etiology of hematospermia is mainly seen in the seminal vesicle lesions, such as seminal vesiculitis, seminal vesicle tuberculosis, seminal vesicle tumors, especially seminal vesiculitis is the most common. When the seminal vesicles are inflamed, the tiny blood vessels in the wall of the seminal vesicles are damaged and cause bleeding. In addition to vesiculitis can cause hematospermia, some other diseases can also cause. For example, patients with cirrhosis of the liver produce hematospermia due to the effect of affecting the collateral circulation of the venous plexus of the prostate. Hypertensive patients cause venous return obstruction and seminal vesicle dilatation can also lead to hematospermia. Therefore, for patients who do not recover from regular anti-inflammatory treatment, they should not be satisfied with the diagnosis of vesiculitis alone, but should also exclude other organic diseases, especially for elderly male patients, hematospermia may be a dangerous signal for the development of tumors and other systemic diseases. Second, the impact of hematospermia on fertility Direct impact: blood in the semen will affect the vitality of spermatozoa. Indirect effect: as the seminal vesicle secretion is the main source of seminal plasma, accounting for 60% of the volume of ejaculated semen, seminal vesiculitis will affect the volume of semen, semen volume is insufficient, can not be filled to guide the posterior fornix of the pool of semen may also cause infertility. The seminal vesicle fluid contains nutrients necessary for the sperm to survive, such as fructose, which is the energy source for the sperm to move after being expelled from the body. Seminal vesiculitis may therefore affect the vitality of sperm; in addition: seminal vesiculitis secondary epididymitis, will also shadow unfavorable to the output of sperm. What should we do if we have hematospermia? For patients suffering from hematospermia, first of all, they should go to regular hospitals for diagnosis and treatment to clarify the cause of the disease. Especially for middle-aged and old-aged patients, if the symptom of hematospermia occurs again and again, they should be examined about the tumor. For patients who have fertility requirements and whose hematospermia is not caused by tumors, they should try their best to have regular and thorough treatment. However, hematospermia is easy to recur, difficult to cure, in addition to medication and other treatments, usually also need to pay attention to health care prevention. If hematospermia is diagnosed to be caused by seminal vesicle adenitis, then seminal vesicle microscopy can be done to clean the blood clots and stones in the seminal vesicle gland under direct vision. Chronic vesiculitis, such as the combination of ejaculatory duct stenosis, resulting in poor excretion of vesicoureteral fluid, can be performed through the urethra ejaculatory duct incision. In addition can also be surgical treatment: acute vesiculitis, such as abscess formation will need to puncture or incision drainage. Fourth, hematospermia patients can still have sex? Acute vesiculitis causing hematospermia is not recommended to have sex, it is recommended to abstain from sex for about 1 month. Chronic vesiculitis caused by hematospermia patients can have sex, it is recommended that patients have a regular sex life, and it is best to try to more spermatozoa, which will help the discharge of blood stasis in the seminal vesicle glands, thus reducing the pressure inside the seminal vesicle glands, which is more conducive to the treatment of vesiculitis.