How is hematospermia diagnosed?
Your doctor will do the following:
- Take a full history, including questions about your current symptoms, recent sexual activities, and any medicine you take
- Physical exam to check for lumps or swelling in the genitals
- Rectal exam to check the prostate for swelling, tenderness, etc.
- Check your blood pressure
- Blood test to measure kidney function, prostate-specific antigen (PSA), etc.
- Urine culture (urinalysis) to check for infections or abnormalities
- STD test to detect any sexually-transmitted disease
- PSA test to check for prostate cancer
The evaluation and tests above may not show the cause of hematospermia. Your doctor may refer you to a urologist (a doctor who specializes in the urinary tract and male reproductive organs) to do some or all of the following tests:
- Cystoscopy (a thin tube with a camera is inserted through the urethra into the bladder to see the inside of the bladder)
- Computed tomography (CT-scan)
- Magnetic resonance imaging (MRI)