is it normal that when i masterbate a little bit of blood and urine comes out when i have an orgasm?

Answer 1

haematospermia is the proper term for what you are describing.
In all probability you are quite young-pity no age given
it is not unusual but all relevant information is below.
You should see your doctor but usually no disease is found

The presence of blood in the ejaculate is called haematospermia. It is usually a painless benign, isolated, self-limiting symptom1.

Epidemiology
Haematospermia is not uncommon and may affect men of any age after puberty.

* Its peak incidence is in men 30 to 40 years old.
* More than 90% of patients have no prior genitourinary symptoms or significant factors in their history.
* The age ranges from 14 to 74 years, with an average age of late 30's2.

Aetiology
In about 50% of patients the cause of haematospermia is not clearly understood or known. In 30-70% of the cases there is no association with any significant pathology3. Semen originates from multiple organs, including the testicles, epididymis, vas deferens, seminal vesicles and prostate.

* Most of the semen comes from the seminal vesicles and prostate and infections or inflammation of these organs account for up to 50% of cases3.
* Malignancies and trauma account for just 4-13% of cases. Malignancy should particularly be considered in older patients i.e. 40 years old or above.
* It may be a complication associated with transurethral prostrate resection. Rates of 2.5% have been found4
* Ultrasound-guided biopsy of the prostate can also result in haematospermia. This occurs in about a third of patients undergoing this procedure and is not cause for alarm.

Classification

* Primary Haematospermia Blood in the ejaculate is the only symptom. There is no blood in the urine, macro or microscopically. The patient has no evidence of any urinary irritation or infection and physical examination is completely unremarkable. The condition is self-limiting. About 15% of patients will have one episode and never have another. Primary haematospermia patients have been studied extensively in the past and most studies show no other associated problems.
* Secondary haematospermia The cause of bleeding is known or suspected e.g. immediately after a prostate biopsy, or in the presence of a urinary or prostate infection or cancer.
Unusual causes or predisposing factors:
o prostatitis
o epididymitis
o urinary calculi
o tuberculosis
o cirrhosis of the liver
o arterial hypertension
o haematological disorders affecting clotting e.g. haemophilia.
o parasitic infections.

Presentation
Usually presents as painless blood staining of the semen noticed on ejaculation. Patient usually presents with brownish to red discoloration of ejaculate. About 85 to 90 percent of all patients that have haematospermia will have repeated episodes .There is no blood in the midstream urine and physical examination is normal. Haematospermia occurring with painful ejaculations, and/or pain in the perineum indicateschronic prostatitis or occasionally other prostatic pathology such as infection of the seminal vesicles, Other (rare) causes can include prostatic calculi or prostatic neoplasm.

Haematospermia can also occasionally occur:

* As part of lower urinary tract symptoms
* In late stages of malignant hypertension (always check BP). 5
* With any bleeding tendencies (inquire about spontaneous bruising or abnormal bleeding)
* Tropical infections such as schistosomiasis and trachoma.6,7

The following factors require further consideration:8

* Persistent symptoms
* Abnormal findings on examination
* Age over forty
* Painful ejaculation
* Pain in the perineum.

Differential Diagnosis

* Idiopathic
* Chronic or acute prostatitis
* Infection of seminal vesicles9
* UTI
* Prostatic neoplasm
* Generalised bleeding tendency
* Malignant hypertension in final stages 10
* Urethritis
* Bleeding tendencies of any kind (including Haemophilia or patients on anticoagulants).
* Groin, testicular or pelvic injury.
* Exotic infections such as Schistosomia Haematobium and Trichomonas.5,6

Investigations

* History of when, how often, associated symptoms, any precipitating factors, any discharges, sexually transmitted diseases, pain on ejaculation, perineal pain, testicular pain, bruising or bleeding tendencies, problems urinating, hypertension, travel history esp. Africa.
* Patients who have haematospermia associated with symptoms of urinary infection or visual or microscopic blood in the urine require a complete urological evaluation.
* A full physical examination is mandatory including BP, abdominal palpation for hepato-splenomegaly, renal enlargement, examination of genitals including the testicles for any lumps, urethral discharge and PR prostatic check for cragginess, enlargement or lumps, lose of median sulcus.
* If the prostate or seminal vesicle is felt to have suspicious areas on rectal examination, or if the screening test for prostate cancer is suspicious (prostate specific antigen or PSA), ultrasound examination and biopsy may be indicated.
* Microscopy, culture and cytology of the ejaculate or prostatic fluid from 'milking' the prostate.
* Microscopy and culture of urine.
* If blood is seen in the urine, an x-ray or ultrasound of the urinary tract, as well as a telescopic examination of the bladder and prostate (cystoscopy) is indicated.
* STD screen .8
* PSA (Remember that a raised PSA can result from acute or chronic prostatitis, benign prostatic enlargement, recent PR i.e. 1-2 days examination as well as prostatic carcinoma) Haematospermia is rare (0.5%) in a prostate cancer screening population. When a man presents with haematospermia, prostate cancer screening should be vigilantly performed since haematospermia is associated with an increased risk of prostate cancer12.
* Other tests depending on any other symptoms eg clotting if any other signs of bruising or bleeding.
* Investigations of any testicular or prostatic lumps if present. (May need prostatic ultrasound examination.)
* Persistent and recurrent cases of haematospermia are best investigated by transrectal ultrasound examination, cystoscopy11, computer tomography and magnetic resonance imaging..

Management
It is generally recommended that no therapy be given for primary haematospermia as it usually resolves spontaneously. Usually reassurance is all that is required after full physical examination and investigations of any ancillary symptom or signs. In patients over 40 years old, with persistent haematospermia, especially with other symptoms, a urological opinion may be neccesary.2

Treatment of any associated or underlying pathology usually is sufficient. Patients should be given a full explanation of their condition and told of symptoms to report.
Persistent haematospermia may benefit from a novel treatment with massage by transrectal heat rotating magnetic field. In a recently reported series of 64 cases, which were caused by prostatitis and spermatocystitis, after one to four treatment sequences the cure rate was 81.25%13.
Source(s):

Doctor
Patient plus

Answer 2

This depends if you are a man or woman, if you say you're a man, I would say no, especially because of the blood.

If you're a woman, I would say yes maybe because the blood might come from rubbing against the the soft tissues inside the vagina. And a lot of women accidentally pee when they have an orgasm.

Answer 3

That is a very bad sign, could be prostate cancer so you need to go to the doctor and get it checked now, like last week!!!!!

I don't mean to scare you, but blood from anywhere around the genital area means something is drastically wrong, could be a simple STD.

Whatever the case get it checked now!!

Answer 4

STD is possible of course but also something like Interstitial Cystitis if you have bladder pain, pneumaturia and dysuria as well. Or possibly it could be Prostatitis if you have perineal pain too. You have to go to a doc sooner rather than later to get this solved.

Answer 5

No I would not think blood in urine or *** would ever be normal. I would see a doctor.

Answer 6

IF YOU ARE WOMAN AND USE AN OBJECT TO PUSH IN THE VAGINA, THEN YOU MAY BE CAUSING INTERNAL TEARING.
GO AND SEE A PHYSICIAN FOR THIS AS BLEEDING IS NEVER NORMAL WHEN AN ORGASM IS REACHED.
IF YOU'RE A MAN SEE A UROLOGIST (SPECIALIST OF URINARY SYSTEMS).

Answer 7

blood it not normal blood should not come out of ur penis when uhave a orgasm only sperm u get a check u right now!!!!!!!!!!

Answer 8

blood is NOT normal...get it checked out by a doc

Answer 9

No, that is not normal. See a doctor.

Answer 10

no i have never heard of that, get it checked out. maybe youre doing it too hard... lol Good Luck!

Answer 11

Sounds like you need to give it a rest....