60 years old half a year without sex appear red semen is generally considered to be hematospermia, may be related to seminal vesiculitis, prostate seminal vesicle tuberculosis or prostatitis and other reasons. 1. Spermatitis: Inflammation in the male lower urinary tract can lead to upward infection leading to the occurrence of vesiculitis, or excessive frequent ejaculation and other reasons can lead to the occurrence of vesiculitis, there can be vulvar discomfort, pain in the lower abdomen, urinary frequency, urinary urgency, urinary pain and blood semen, semen can be presented with a pink color or with a bloody silk. 2. prostate seminal vesicle tuberculosis: mostly secondary to renal tuberculosis, the clinical manifestation is not obvious, occasionally feel the perineum discomfort, in serious cases, can appear semen volume, blood semen, and so on. 3. Prostatitis: Prostatitis is a prostate disease caused by a variety of complex causes, with urethral irritation and chronic pelvic pain as the main clinical manifestations, can be divided into different types, the common performance of urinary frequency, urinary urgency, urinary pain, perineal discomfort, etc., and some of the patients may also have blood sperm. When middle-aged and elderly men have blood sperm, it is recommended that they consult a doctor in a timely manner to identify the cause of the disease and then follow the doctor’s instructions for treatment.