Conversation: The conversation between human and AI assistant.
[|Human|] hello I am a 66 year old man.i have had 2 episodes of blood in my semen,first time I masturbated,not vigourously and the semen was pinkish.i waited ten days and today it was darker in color.i had a psa and a digital rectal exam and both were normal on December 19 2013.today I called my primary and my urologist and no response yet.i am thinking of going to the ER if ican not see ,my primary.any sugggestions?lanskey
[|AI|]  Hi I understand your concern, blood in semen is not normal. It such cases the probability of a cancer prostate should be ruled out. When negative other conditions such as vasculitis which is inflammation of the seminal vesicles(the part of the testes which produce most of the fluid of your ejaculate) can cause blood in semen. Other conditions such as any abnormalities in bleeding or any anticoagulant may cause a similar picture. An S.T.D screen could be taken to be on the safe side. Hypertension rarely causes such a complaint. You could discuss on ruling out the above causes with your physician, if no cause is found.an ultrasound of the bladder is beneficial to see if there is any early growth that is causing your symptoms.  Thank you wish you a speedy recovery.!