Case: In June this year, 41-year-old Mr. Yang found that the semen ejaculated after sex was actually bright red, and the urethra was also hot and slightly painful, which was a shock. I thought I’d be fine after two days, but the semen I ejaculated the second time I had sex turned coffee-colored again. In addition, the urethra will also drop a few drops of red secretions when defecating, scaring Mr. Yang no longer dare to have sex. The truth is, it’s a hemorrhagic sperm caused by vesiculitis. The actual fact that the semen suddenly changed from the normal milky white color to red or mixed with blood, of course, is mixed with blood. The actual fact is that the actual blood is coming from where? It should be a lesion in one of the tissues in the sperm’s pathway, such as bleeding, inflammation, or maybe even a tumor. Semen, in addition to sperm, is mainly made up of secretions from the seminal vesicles, prostate and urethral bulb glands. The wall of the seminal vesicles is very thin, and once it is filled with blood, the vascularized vesicle wall is prone to bleeding. In fact, the seminal vesicles, prostate gland and posterior urethra are connected and inflammation can easily spread from one of them to the other two. Therefore, the most common cause of hematospermia is firstly vesiculitis, followed by prostatitis and posterior urethritis. Some studies have concluded that seminal vesiculitis can affect sperm quality. When suffering from seminal vesiculitis, the composition of seminal plasma changes and bacteria will devour the nutrients in seminal plasma, compete for oxygen and excrete toxins and metabolites, undoubtedly exposing sperm to an extremely unfavorable environment. In addition, the fructose secreted by the seminal vesicles is the “energy” for the sperm to move, if the seminal vesicles are inflamed, the fructose secreted will be reduced and the sperm will be less active, resulting in reduced fertility. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. Vesiculitis may seem scary, but it is not malignant and does not transform into malignant, it can be cured but not easily eradicated, so don’t worry. In life, try not to consume chili peppers and alcohol, and hot water sitz baths also help slow down the condition. Since the semen accumulated in the seminal vesicles cannot be emptied in a single ejaculation, hemorrhagic semen often lasts for some time. If the seminal vesicles want to be emptied, have sex at least twice a week. If the semen is bright red, it means that it is just bleeding, so you can control your sex life a bit; if it is coffee-colored, it means that it is old bleeding, so you can increase your sex life appropriately.