Conversation: The conversation between human and AI assistant.
[|Human|] I had small streeks of blood in semen for three years. I am 61, Digital prostate exam was OK, PSA was 5.1. I learned to live with the little blood in semen hoping it will go away. However, about two weeks ago, I noticed almost suddenly an increase in the blood in semen. Yesterday it was like pure blood. I tried again today and it was still bloody but brownish more than red. What could be the problem?? By the way, I never had prostate biopsey.
[|AI|]  Hi, These symptoms indicate in most cases prostate issues such as prostatitis or hypertrophy, and rarely it may be signed of STD infection.  You should avoid intercourse for till symptoms persist and Chat Doctor.  If symptoms persist it would be good to do a prostate ultrasound and check your PSA levels to rule out a prostate tumor or hypertrophy and further treatment depends on these findings.  In most cases, it can be controlled with medications but sometimes, in case of a tumor, open surgery is required.  And severe benign hypertrophy may be managed endoscopically, so you should consult urologist about appropriate options. Hope I have answered your query. Let me know if I can assist you further. Take care