Treatment

This depends on the cause.

Management in primary care if no identifiable cause:

• for men younger than 40 years of age who have had no more than three episodes of haematospermia within one month:
  • reassurance that a serious cause is extremely unlikely
  • the patient should be advised to return if more than three episodes of haematospermia occur or episodes of haematospermia continue for more than one month

Indications for urology referral:

• Men ≥40 years of age
• Persistent or recurrent haematospermia
• Suspicious DRE findings
• Abnormal PSA results
• Suspicion of prostate, bladder, testicular or urethral malignancy on history, examination or investigations
• Concurrent haematuria
• Haematospermia despite treatment for suspected cause

Reference:

1. Dantanarayana N. Aust Fam Physician: Haematospermia. Volume 44, Issue 12, December 2015