ISSN ONLINE: 2558-815X
ISSN PRINT: 1584-9244
ISSN-L: 1584-9244

Continuous hematospermia for 5 years caused by coitus reservatus as a method of contraception – a case report

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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

Full text sources https://doi.org/10.31688/ABMU.2022.57.3.10
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Address for correspondence:
Atanas S. IVANOV
Department of urology and general medicine, Clinic of Urology, Medical University of Plovdiv, UMHAT “St. George”- Plovdiv, Bulgaria
Address: Blvd Peshtersko no 66 , 9th floor, Plovdiv 4000, Bulgaria
E-mail: atanasivanovmd@yahoo.com; Phone: +35 988 674 0407

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Antonov PA, Ivanov AS, Stanchev PE, Genov PP. Continuous hematospermia for 5 years caused by coitus reservatus as a method of contraception –
A case report. Arch Balk Med Union. 2022;57(3):291-294. https://doi.org/10.31688/ABMU.2022.57.3.10