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Answer to your Health 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




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.

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