[50M] Experiencing hematospermia with a recent history of severe groin pain

Patient Description

A 50-year-old male presents with a new onset of hematospermia, first noticed today. The patient reports a history of severe, sharp groin pain starting three weeks prior, which has significantly improved. The pain was localized to the inner leg, pubic area, and left groin, exacerbated by walking and movement, but has resolved with no pain at rest or during urination. No recent injuries to the groin area were reported. The patient's medical history is unremarkable with no chronic illnesses, and he is currently taking Lexipro. The patient has a known allergy to PNC. No other medications or symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Hematospermia: This is the medical term for blood in the semen. It can be alarming to see, but it's often not a serious problem, especially in men under 40. In many cases, no cause can be found. However, in some cases, it can be a sign of a medical condition that needs treatment, such as an infection, inflammation, or a blockage in the reproductive system.

    • Treatment depends on the underlying cause. If an infection is found, antibiotics may be prescribed. If a blockage is found, surgery may be needed.
  • Groin Strain or Pull: This is a common injury, especially in people who participate in sports that require a lot of running or jumping. It occurs when the muscles in the groin area are stretched or torn. This can cause pain, especially when walking or moving.

    • Treatment usually involves rest, ice, compression, and elevation (RICE). Pain relievers may also be recommended.

What you can do

  1. Schedule an appointment with your doctor: They can perform a physical examination and possibly order tests to determine the cause of the blood in your semen.

  2. Rest and take care of your groin: If the pain returns, try to rest and avoid activities that make it worse. Applying an ice pack to the area for 15-20 minutes every 2-3 hours can also help reduce inflammation and pain.

  3. Stay hydrated: This can help flush out any potential infections and keep your urinary system healthy.

What you should look out for

  • If the blood in your semen continues or gets worse
  • If you develop other symptoms, such as pain during urination, fever, or lower back pain
  • If your groin pain returns or gets worse

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common causes of hematospermia?

Common causes of hematospermia include infections, inflammation, blockages in the reproductive system, or trauma. In many cases, no specific cause is identified, and it resolves on its own.


How is a groin strain typically treated?

A groin strain is typically treated with rest, ice, compression, and elevation (RICE). Pain relievers may also be recommended to manage discomfort.


When should I be concerned about blood in my semen?

You should be concerned about blood in your semen if it persists, worsens, or is accompanied by other symptoms such as pain during urination, fever, or lower back pain. It's important to consult a healthcare professional for a proper evaluation.


Can medications like Lexipro cause hematospermia?

While Lexipro is not commonly associated with hematospermia, any new symptoms should be discussed with a healthcare provider to rule out potential side effects or interactions.


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