Haemospermia- A Disorder of Male Sexual Health DD04-DD05
Dr. Dwijesh Kumar Panda,
M5/12, Acharya Vihar, Bhubaneswar-751013, Odisha, India.
The testicular involvement with lymphatic filariasis caused by Wuchereria bancrofti (95%) is common in the endemic zone of Odisha in India. Haemospermia is the presence of blood in ejaculation. It is relatively uncommon and may affect one in every 5,000 individuals. Blood in semen can be frightening, but the condition is usually benign. A case of haemospermia was presented with the complaint of pain and discomfort in the perineum for the last five years. Trans Rectal Ultrasonography (TRUS) did not reveal any pathology. The Contrast-Enhanced Magnetic Resonance Imaging (CE-MRI) showed haemorrhage in the left seminal vesicles. The serum Prostate-Specific Antigen (PSA) test was within the reference range and carcinoma of the prostate was ruled out. The positive monoclonal circulating adult filarial antigen test (OG4C3) confirmed the diagnosis. The patient was given anti-filarial treatment for six months. Blood in the semen disappeared, but sexual asthenia persisted.