Semen health
Blood in semen: common causes and when to get checked
Seeing blood in semen is frightening, but in younger men it is usually caused by something minor and settles on its own. It is still important to know when it needs checking.
In short: Blood in semen, called haematospermia, makes semen look red, pink or brown. In men under 40 it is often caused by minor inflammation, a recent prostate procedure or vigorous sexual activity, and usually clears within weeks. It should be checked if it keeps happening, you are over 40, or you have pain, fever, urinary symptoms or blood in the urine.
Common causes
- Inflammation or infection of the prostate, seminal vesicles, urethra or epididymis. See painful ejaculation causes.
- Recent procedures such as a prostate biopsy or vasectomy.
- Vigorous or prolonged sexual activity or long periods without ejaculation.
- Sexually transmitted infections.
- High blood pressure in some men.
- Blood-thinning medicines.
Less common causes
- Prostate enlargement or stones
- Blockages in the ejaculatory ducts
- Rarely, prostate, bladder or testicular cancer, especially in older men
When to get checked
See an appropriately registered medical professional if:
- You are over 40
- It happens more than once or lasts longer than a few weeks
- You have pain, fever, or burning when urinating
- You also have blood in your urine
- You have a lump in the testicle
- You have a history of cancer or bleeding disorders
Assessment may include a urine test, STI tests, a prostate examination, PSA blood test and blood pressure check.
While you wait
- Avoid alcohol and spicy food if you have urinary irritation.
- Stay hydrated.
- Avoid strenuous activity if you have pelvic pain.
- Practise safer sex until infection is ruled out.
Recovery
Most young men with a single episode recover fully without treatment. Infections are treated with appropriate medicines.
How we can help
Our naturopaths can support recovery, prostate comfort and stress with natural remedies, alongside the medical tests and treatment you need. Read also sperm colour meaning and prostate health symptoms men shouldn’t ignore.
Why men choose our natural approach
Walk in or consult remotely
Walk in at Buccleuch, Sandton, with parking available, or consult by phone or video from anywhere in South Africa.
Natural and non-surgical
Herbal remedies and practical guidance, with no injections or surgery.
Faster appointments
Enquiries answered 24/7, with same-day appointments often available.
Transparent pricing
Consultations are R2,500, with any remedy costs confirmed before you commit.
Private self-check: 5 quick questions
Answer these honestly before you try anything new or book. They help you describe what is happening and get more from your first consultation.
- Have you noticed a change in the amount, colour or consistency of your semen?
- Do you feel pain or burning during or after ejaculation?
- Have you had trouble ejaculating, or does it take much longer than before?
- Do you smoke, drink most days, or sit for long hours?
- Are you and your partner trying for a baby?
Pain, burning, blood in the semen or a sudden change should be checked by an appropriately registered medical professional first. For lifestyle-related changes, a naturopath can help you build a natural plan to support healthy function.
What happens at your first consultation
- Walk in or book online, call +27 10 205 9855 or WhatsApp +27 81 823 1313. In Gauteng, walk in at 199 Vanessa Street, Buccleuch, Sandton, where parking is available. Outside Gauteng, choose a confidential phone or video consultation. Enquiries are answered 24/7.
- Talk privately with a naturopath about your symptoms, health history, lifestyle and goals.
- Receive a personalised natural plan, with any remedy costs confirmed upfront.
- Follow up in person or remotely so your progress is reviewed and your plan adjusted.
Your health and safety
Our naturopaths use natural remedies and lifestyle support, and always check your health history and current medicines first. Blood in the semen needs medical assessment in many cases, so we refer you to an appropriately registered medical professional for tests whenever appropriate. Avoid unregistered “enhancement” products sold online or at markets, as SAHPRA has warned that some contain hidden ingredients.
Seek urgent medical care for chest pain, an erection lasting more than four hours, sudden weakness or other sudden symptoms.
Consultation price
A consultation is R2,500, in person or remote, and your naturopath confirms any further costs before you go ahead. See our men’s clinic prices for details.
Frequently asked questions
Is blood in semen serious?
In men under 40 it is usually minor and settles on its own, but it should be checked if it recurs, you are over 40, or you have other symptoms.
How long does blood in semen last?
A single episode often clears within a few weeks.
Can blood in semen be caused by an STI?
Yes. Some sexually transmitted infections can cause it, so testing may be needed.
Does blood in semen affect fertility?
Usually not, but the underlying cause should be assessed.
How much does a consultation cost?
A consultation is R2,500, and any remedy costs are confirmed with you before you go ahead.
Book your consultation today
Get personalised, natural support from a naturopath. Walk in at our Sandton practice, or book a remote consultation if you live outside Gauteng.
References and further reading
Reviewed by George Mulaudzi, Naturopath. This page is general information and does not replace a personal consultation. If you have chest pain, sudden symptoms or a medical emergency, seek urgent medical care.
