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What Does Presence Of Blood In The Genitals After Intercourse Indicate?
Question: After sex and a swim yesterday I found blood in my underwear. At 11PM it was about the size of a quarter, and it frightened me. I see no sign of blood in the urine. What could this be? It has not continued.
Brief Answer:
Clinical evaluation and investigations to get a proper diagnosis and Rx
Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
To recapitulate: Male/74 - blood in underwear after sex and swim - size of a quarter at 11 pm - no sign of blood in urine - not continued - wants to know further.
The commonest cause of such a blood in underwear, particularly after sex is usually due to congestion of prostate and release of prostatic fluid after ejaculation.
This may be found and not uncommon but surely raises a concern.
Hence I would advise you the following:
Per-rectal digital examination, preferably by an Urologist or a General Surgeon.
Ultrasonography of abdomen.
Blood PSA
Urine
These will help to rule out any serious matter.
If anything is found positive, may need a biopsy.
This is the routine that is usually followed on blood per urethrum.
I hope this answers your query and helps to alleviate the fear of what the basic cause be.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Clinical evaluation and investigations to get a proper diagnosis and Rx
Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
To recapitulate: Male/74 - blood in underwear after sex and swim - size of a quarter at 11 pm - no sign of blood in urine - not continued - wants to know further.
The commonest cause of such a blood in underwear, particularly after sex is usually due to congestion of prostate and release of prostatic fluid after ejaculation.
This may be found and not uncommon but surely raises a concern.
Hence I would advise you the following:
Per-rectal digital examination, preferably by an Urologist or a General Surgeon.
Ultrasonography of abdomen.
Blood PSA
Urine
These will help to rule out any serious matter.
If anything is found positive, may need a biopsy.
This is the routine that is usually followed on blood per urethrum.
I hope this answers your query and helps to alleviate the fear of what the basic cause be.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My prostate was removed exactly 3 years ago--I'm sorry i forgot to mention that. There was no cancer; it was simply swollen. Timing: 3PM hot tub, then sex, then swim for a half hour. There was a little blood on the towel after I showered, but I just thought I had scratched an itch too hard (it was so little). It was 11 PM before I saw the blood in the underwear. The bleeding had certainly stopped and has not recurred. I suspect the bleeding stopped very soon after the swim & shower, but I never felt anything.
Thank you.
Thank you.
Brief Answer:
Yes to go for the routine as mentioned above.
Detailed Answer:
Thanks for your feedback.
Even though the prostate was removed, it is still better to undergo the investigations as advised to make sure that everything is okay.
Yes to go for the routine as mentioned above.
Detailed Answer:
Thanks for your feedback.
Even though the prostate was removed, it is still better to undergo the investigations as advised to make sure that everything is okay.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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