How is hematospermia diagnosed?

How is hematospermia diagnosed?

Initial evaluation

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

Diagnostic tests

  • 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

Specialized tests

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)
  • Ultrasound
  • Computed tomography (CT-scan)
  • Magnetic resonance imaging (MRI)