Semen is Bloody Underlying Cause
Most cases of hematospermia resolve without treatment and an underlying cause is not found.
Causes of hematospermia include:
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- Furuya S, Ogura H, Saitoh N, Tsukamoto T, Kumamoto Y, Tanaka Y. Hematospermia: an investigation of the bleeding site and underlying lesions. Int J Urol. 1999 Nov;6(11):539-47; discussion 548. 
- Munkel witz R, Krasnokutsky S, Lie J, Shah SM, Bayshtok J, Khan SA. Current perspectives on hematospermia: a review. J Androl. 1997 Jan-Feb;18(1):6-14.