Normal semen is milky white, or pale yellow. If the semen has a red or brownish-red appearance or if it has blood or blood clots, hematospermia is considered. The incidence of hematospermia is most common in young adults aged 25 to 40 years old, but it can also occur in older patients. Inflammation: The most common cause is seminal vesiculitis and prostatitis, which are divided into non-specific bacterial infections and specific bacterial infections (such as mycoplasma, chlamydia, gonococcus, mycobacterium tuberculosis, etc.); reproductive duct obstruction or cysts: seminal cysts, ejaculatory duct obstruction and prostatic cysts, which cause blood vessels to rupture and bleed; neoplastic lesions: benign tumors (prostate Vascular factors: angiomas and arteriovenous malformations of the prostate and seminal vesicles can cause hematospermia, as can the collateral circulation of the hemorrhoidal plexus and prostatic plexus in cirrhosis; systemic diseases: e.g., hypertension, malignant lymphoma, and bleeding disorders; medications Medications: such as taking aspirin, warfarin and antithrombotic drugs may induce hematospermia; trauma, lithotripsy, and idiopathic causes. Ancillary examinations 1. Routine physical examination: rectal finger examination: palpation of prostate and seminal vesicles for enlargement, pressure pain, nodules and tumor infiltration, etc.; 2. Biochemical examinations: routine blood, urine, semen, coagulation function, liver function biochemistry, prostate tumor markers, etc.; 3. Imaging examinations: CT, MRI, transrectal prostate seminal vesicle ultrasound, etc.; 4. Invasive examinations: seminal vesicle or prostate puncture biopsy, etc. Treatment 1. Psychological treatment: for patients with persistent hematospermia and patients with hematospermia caused by tumor lesions, psychological counseling is needed to put down the psychological burden and adhere to regular treatment to help recovery; 2. 3, surgical treatment: seminal vesicle examination, radical prostatectomy, seminal vesicle lithotripsy, etc.; 4, physiotherapy: drug treatment can be combined with physiotherapy to enhance the therapeutic effect. The first thing you should do is to take a light diet: don’t eat spicy, roasted products, shrimp, crab, etc. 2, a healthy lifestyle habits, avoid sitting up late, smoking and drinking, avoid holding urine for a long time, moderate exercise, drink an appropriate amount of water. 3, regular sex: the early onset of bleeding patients should suspend sex for at least 1 week; sexually active young people can be moderate sex in the case of reduced bleeding, stable condition, but pay attention not to hold back sperm, not indulge in sexual desire.