Question:
Hello
sir, I am 35 male, last night I shakes hard to my penis with my hands,
after getting up in the morning I got a little 2 dots drop of blood
on my underwear, is this any major problem or it is quite normal,
please suggest thanking you
Regards
P.Shashivarma
Answer:
Dear
Shashivarma,
Doctor
Arthur Goldstein says that this type of bleeding usually comes from
the prostate gland. It is
due to a tear in one of the fragile veins of the prostate.
The prostate
is the organ that produces the majority of the seminal fluid in response
to sexual stimulation.
When
the prostate contracts at the time of ejaculation, a vein may tear
and blood mixes with the semen (hematospermia).
Red blood
indicates new and dark discoloration indicates previous bleeding.
Old clots
may also be mixed with the semen.
Prostatic
bleeding often is associated with gross blood during urination.
This
typically will occur with initiation or at the end of urination (as
opposed to being throughout the entire stream).
With
the latter, it is often manifest as spots of blood on the underwear
or pajamas.
Irritation
of the gland (prostatitis) can also cause it to become inflamed and
predisposed to bleed.
Some
factors leading to inflammation include too frequent or too infrequent
ejaculation, sexual
arousal without ejaculation; withdraw at the time of ejaculation,
excessive alcohol or spicy foods, prolonged sitting or bike riding,
etc.
The prostate
may then become secondarily infected and require antibiotic therapy
for cure.
Sometimes
as the prostate gradually enlarges with age, friable veins called
varices develop on its surface.
These
are also prone to tearing. In such cases, Proscar is sometimes prescribed
to shrink both the prostate and the
veins.
Although
hematospermia is not a typical sign of prostate cancer, it is advisable
to check with a urologist to evaluate the condition.
