{"id":3982,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/haematospermia\/"},"modified":"2026-02-19T09:57:51","modified_gmt":"2026-02-19T09:57:51","slug":"haematospermia","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/urology\/haematospermia\/","title":{"rendered":"Haematospermia"},"content":{"rendered":"\n<p>Haematospermia is an alarming symptom, but rarely associated with malignancy and most patients can be reassured, particularly for an isolated episode in younger men. STIs and infection needs to be considered, and a full history and examination are required. Rarely, haematospermia can be associated with urological cancers in older men. Uncontrolled hypertension is cited as another cause. There is often no cause found. Consideration can be given to treat empirically for prostatitis if recurrent episodes within a short timeframe (see <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/urology\/prostatitis\/\" target=\"_blank\" rel=\"noreferrer noopener\">Prostatitis \u2013 RefHelp<\/a>).<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Haematospermia-Jan-26-flowchart.pdf\" type=\"application\/pdf\" style=\"width:100%;height:780px\" aria-label=\"Embed of Haematospermia Jan 26 flowchart.\"><\/object><a id=\"wp-block-file--media-8dfb83e3-ae22-4dde-b116-a49ae39bcf61\" href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Haematospermia-Jan-26-flowchart.pdf\">Haematospermia Jan 26 flowchart<\/a><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Haematospermia-Jan-26-flowchart.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-8dfb83e3-ae22-4dde-b116-a49ae39bcf61\">Download<\/a><\/div>\n\n\n\n<p><strong>D.M &amp; H.S 18\/2\/26<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Who to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Abnormal DRE or PSA (refer as urgent suspected cancer)<\/li>\n\n\n\n<li>If other symptoms are present in addition to haematospermia see appropriate RefHelp pages (eg <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/urology\/haematuria-visible\/\" target=\"_blank\" rel=\"noreferrer noopener\">Haematuria VISIBLE \u2013 RefHelp<\/a> , <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/urology\/recurrentutis\/\" target=\"_blank\" rel=\"noreferrer noopener\">Recurrent UTIs \u2013 RefHelp<\/a>, <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/urology\/prostatitis\/\" target=\"_blank\" rel=\"noreferrer noopener\">Prostatitis \u2013 RefHelp<\/a> , <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/sexualreprohealth\/sexuallytransmittedinfectionssti\/\" target=\"_blank\" rel=\"noreferrer noopener\">Sexually Transmitted Infections (STIs) \u2013 RefHelp<\/a> )<\/li>\n\n\n\n<li>If recurrent episodes, consider treating as prostatitis with empirical antibiotics, if not settling and further help required, please refer to Urology as \u201cadvice only\u201d.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer:<\/h4>\n\n\n\n<p>No abnormal tests<\/p>\n\n\n\n<p>Single \u2018episode\u2019 of haematospermia <\/p>\n\n\n\n<p>Recurrent \u201cepisodes\u201d that settle with empirical antibiotics<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<p>SCI Gateway to Urology at the Western General Hospital<\/p>\n\n\n\n<p>For those with abnormal DRE or PSA refer as urgent suspicion of cancer<\/p>\n\n\n\n<p>WGH &gt; urology &gt; LI Prostate disease<\/p>\n\n\n\n<p>For those with recurrent episodes, that do not settle with antibiotics: WGH &gt; Urology &gt; advice only<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Haematospermia is an alarming symptom, but rarely associated with malignancy and most patients can be reassured, particularly for an isolated episode in younger men. STIs and infection needs to be considered, and a full history and examination are required. Rarely, haematospermia can be associated with urological cancers in older men. Uncontrolled hypertension is cited as<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4500,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[668],"class_list":["post-3982","page","type-page","status-publish","hentry","category-haematospermia"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/urology\/haematospermia\/\" rel=\"tag\">Haematospermia<\/a>","rttpg_excerpt":"Haematospermia is an alarming symptom, but rarely associated with malignancy and most patients can be reassured, particularly for an isolated episode in younger men. STIs and infection needs to be considered, and a full history and examination are required. Rarely, haematospermia can be associated with urological cancers in older men. Uncontrolled hypertension is cited as","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3982","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3982"}],"version-history":[{"count":6,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3982\/revisions"}],"predecessor-version":[{"id":27011,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3982\/revisions\/27011"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4500"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3982"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3982"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}