Recently, there are several male patients who have been suffering from hematospermia for a long time. They tend to seek medical help from all over the world, but sometimes they get better and worse, and they suffer a lot, which affects their normal work and also the life of the couple. The couple is afraid of future fertility problems, but also fearful of the end of the day. The patient not only spends a lot of time and energy, but also spends a lot of money. In fact, hematospermia is not uncommon in clinical practice, but due to its complex etiology, there are many diseases that can cause it, and treatment methods vary from person to person. Hemosperm is a common symptom where we see blood in the semen with the naked eye. Hemosperm is most often seen in young men younger than 40 years old. At this age, it is a time when work and life are very burdensome and stressful in all aspects. This, coupled with the traditional Chinese concept that semen and offspring are very important, inadvertently adds to the psychological burden of the patient and his family. The presence of blood in the semen is regarded as very serious and makes the patient feel very fearful. The medical aspect alone is that hematosperm is not very scary, most of them are benign lesions and a self-limiting symptom. In terms of causes, hematospermia can occur in the male reproductive system, lower urinary system and systemic diseases. The organs of the male reproductive system and urinary system that can cause hematosperm include the prostate, seminal vesicles, ejaculatory ducts, vas deferens, bladder, urethra, epididymis, and testes. So, what are the most common causes of hematospermia? Overall, inflammation and infection are the most common causes, accounting for 39%; and the vast majority of young patients with hematospermia are inflammatory and infected, with seminal vesiculitis and prostatitis being the most common. Some other rare causes are, blockage of genital ducts and cysts, benign tumors, vascular abnormalities, hypertension, hemophilia and application of anticoagulant drugs (such as aspirin, warfarin and antithrombotic drugs), and then malignant tumors of male genital organs can also occur hematospermia. For patients with long duration, multiple occurrences of hematospermia and those over 40 years of age, a more systematic examination should be performed to clarify the cause except for malignant lesions. Hemospermia may occur only once or twice, or may be repeated over weeks or months or even years, but most have a short duration. Only very few patients with hematospermia are severe lesions, and many patients present with self-limiting symptoms. In terms of treatment, for patients with no obvious lesions found after examination, they can be cured with only general treatment. For individual patients with obvious causes, the corresponding treatment will be taken according to the cause, location and nature of the lesion. In short, having hematospermia is not terrible, as long as you go to the relevant departments of regular general hospitals after systematic examination and treatment by professional physicians to exclude malignant lesions, most patients can be completely cured.