Doctor Domme – Hematospermia

So you might have read about the Unexpectedness of the last couple days. We had a very big scare but I did my best to stay calm, I did my research as always and then tried to get a handle on cagedmonkey’s anxiety.

Well one thing I can say about this is that I have now expanded my knowledge and that it something I just love doing!

So have you ever experienced blood in your semen? Well that’s called Hematospermia. It’s often seen as no big deal, blood in the ejaculate can scare the shit out of the men who experience it and their partners. The condition is common, and many times it can go unnoticed because most times ejaculation are, well, in a vagina. In most patients with hematospermia, no further workup is needed; however, in some patients, hematospermia may be the first indicator of other urologic diseases.

Hematospermia can occur in males of any age. In men younger than 40, hematospermia is uniformly benign. Even in older men, it is rarely associated with malignancy. In cases of blood in the semen with no other symptoms, is referred to as self-limited.

Most patients have more than one episode, occurring over weeks to months. If there is blood in the ejaculate that lasts for more than 10 ejaculations it’s a good idea to see a doctor for an evaluation.

The physical examination should include measuring the patient’s blood pressure because severe high blood pressure is associated with hematospermia. While doctors do recognize this, it is unknown why exactly it occurs but it may have a similar basis to the association of hypertension with nosebleeds.

The etiology is not specifically known and isn’t understood well. Most commonly, it can be from nonspecific inflammation of the urethra, prostate and/or seminal vesicles. It can also come from broken blood vessels which could be cause by many different things.

Funny enough some of the reasons for self-limited hematospermia are:

Vigorous sex (well, yeah, after a month it can get rough)
Prolonged Sexual Abstinence (uhhh, hello chastity)
interrupted sex (I take that as edging/ruined orgasms)

The symptoms that can accompany blood in the semen may be any of the following, depending upon the cause (these are not all of them):

Painful urination
Pain with ejaculation
Blood in urine
Lower back pain
Tenderness in the testes and/or scrotum
Swelling in the testes and/or scrotum
Swelling or tenderness in the groin area

The primary treatment of hematospermia is to ease the anxiety of the guy it’s happening to. Hematospermia is rarely associated with significant pathology, especially in younger men. The 3 factors that dictate the extent of the evaluation and treatment include 1. patient age, 2. the duration and recurrence of the hematospermia, and 3. the presence of any associated hematuria.

Really what it comes down to is if you have blood in your semen with testicular pain, burning or pain with urination, fever, swelling or any other symptom it is a good idea to get to a doctor. If you have blood in your semen and you’re over 40 years you should see a doctor. If you have blood in your semen and no other symptoms at all you are likely ok to wait it out a few weeks (at least 10 ejaculations) to see if it clears up on its own. If it doesn’t clear up after that it’s best to see a doctor.

I’m glad I’m the kind of person to research the shit out of stuff. To understand what is going on before freaking out – most of the time! Even armed with this knowledge cagedmonkey and I made a decision together to have a “honeymoon” of sorts from the chastity device and the Tease & Denial.

I’m worried that many things contributed to this happening… things like a possible ill fitting base ring, 25 days of tease and denial, very intense teasing while in the cage, possibly too rough pegging… any of these things could have been a factor in making this happen. Then again, it could have been none of it and it just happened.

All I know is that I love my cagedmonkey and I’m going to do everything possible to keep him safe and healthy. He is my heart and soul and I’d be nothing without him.


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