Introduction. The presence of blood in the semen is called haematospermia or haemospermia. The condition is always accompanied by patients’ fear and anxiety and in most cases is intermittent and on short-term. In cases when haematospermia is continuing for long time or associates other symptoms it requires diagnostic evaluation for the numerous possible causes – inflammatory, neoplastic, iatrogenic and obstructive.
Case presentation. We present a case of coitus reservatus – an unpopular practice of sexual intercourse and a contraceptive method which is clinically manifested with haematospermia. A 38-year-old male patient, married, with one 6-year-old child, has been consulted for persistent haematospermia after each ejaculation in the last 5 years. The physical, laboratory and imaging examinations identified the cause of haematospermia as being coitus reservatus.
Conclusions. Haematospermia is a relatively rare and typically harmless condition, with a multifactorial aetiology. The presented case of coitus reservatus is an unpopular practice of sexual intercourse and a contraceptive method which is clinically manifested with haematospermia.
Keywords: haemospermia, coitus reservatus, contraception
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Atanas S. IVANOV
Department of urology and general medicine, Clinic of Urology, Medical University of Plovdiv, UMHAT “St. George”- Plovdiv, Bulgaria
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