RBC in sperm refers to the presence of red blood cells (RBCs) in semen, a condition known as hematospermia or hemospermia. While finding blood in your semen can be alarming, it's often not a serious issue. Many cases are caused by minor injuries or inflammation within the reproductive system.
Causes of RBCs in Semen
Several factors can contribute to the presence of RBCs in semen:
- Inflammation or Infection: Low-grade infections or inflammation in the prostate gland or seminal vesicles are common culprits. [Source: British Association of Urological Surgeons]
- Injury: Damage to blood vessels during sexual activity or medical procedures can cause bleeding into the semen. [Source: Cleveland Clinic]
- Benign Prostatic Hyperplasia (BPH): Enlarged prostate can lead to blood vessel irritation and bleeding.
- Tumors: In rare cases, tumors in the seminal vesicles or testes can cause hematospermia. [Source: Merck Manual]
- Blood Vessel Abnormalities: A mass of abnormal blood vessels (hemangioma) in the urethra can also contribute. [Source: Merck Manual]
- Red Blood Cell Disorders: Systemic conditions affecting red blood cells can impact male fertility and lead to hematospermia. [Source: Nature.com]
Significance of RBCs in Sperm
The presence of RBCs in semen isn't routinely measured during standard sperm analysis. However, excess RBCs (hematospermia) along with excess white blood cells (leukocytospermia) can negatively impact sperm quality and fertility. [Source: NCBI PMC] The impact depends on the underlying cause and severity.
Diagnostic Considerations
Diagnosing the cause of hematospermia usually involves a physical exam and possibly further tests like:
- Semen analysis: To assess overall sperm quality and identify any other abnormalities.
- Ultrasound: To visualize the prostate gland, seminal vesicles and other reproductive organs.
- Urine tests: To rule out urinary tract infections or other conditions.
It is crucial to consult a healthcare professional for proper diagnosis and management of hematospermia. The treatment approach will vary depending on the underlying cause.
