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Does varicocele causes blood in semen?

I had a testicular cancer scare a while back that turned out to be only a varicocele, according to my primary care physician. I haven't really thought about it since then, but just a few days ago found a little bit of blood in my semen. Could this be caused by the varicocele or is it something else?
Blood in the semen, or hematospermia, is not caused by a varicocele. A varicocele is an enlargment of the veins that run around the tubes that conduct semen; however there is no physical connection between these veins and the tubes that conduct the semen, so there would be no way for blood to leak into the semen from the varicocele. There are, however, several causes of blood in the semen that should be investigated. Probably the most common cause of hematospermia is a sexually transmitted infection, caused by chlamydia, gonorrhea, or another organism. Often there is also pain or burning with urination. These infections can be ruled out by simple tests your doctor can perform. Probably the next most common cause is an inflammation of the prostate. This can be acute (often from the same organisms that cause the sexually transmitted infection) or it can be chronic, when it manifests as low level aching pain in the pelvis and some urinary symptoms. Chronic prostatitis is more common in those who have to hold their urine for a long time, like long distance truck drivers. Hematospermia is a symptom that should be examined by your primary care doctor as soon as possible, to make sure one of these infections is not going on.
This answer is for general informational purposes only and is not a substitute for professional medical advice.
If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under Zocdoc’s Terms of Service.

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