In accordance with WHO standards, erythrocytes in the spermogram should not be present in any quantity. Their presence may indicate a serious pathology in the male reproductive system. This condition is called hemospermia.
Single erythrocytes can coexist with leukocytes and epithelial cells in a spermogram in small numbers so that this is not considered a deviation from the norm. Red blood cells can enter the semen due to rupture of small vessels during intercourse or get out of the partner’s genital tract. In this case, it is recommended to take a second spermogram in 5-7 days. This condition is called conditional or false hemospermia.
The reasons for the appearance of erythrocytes in the spermogram can be of an everyday or pathological nature. As already mentioned, false hemospermia can occur for the following reasons:
The constant presence of red blood cells in the spermogram can be caused by the following pathologies and diseases:
To establish the cause of the appearance of erythrocytes and epithelial cells in the spermogram, it is necessary to conduct a comprehensive examination of the whole organism.
First of all, you shouldn’t panic. Often, erythrocytes in the spermogram are found in sexually active young men under 40 due to mechanical damage to blood vessels, trauma, overexertion, and severe pathologies associated with hemospermia occur only in 2% of cases. Among elderly men, this figure can reach 14%, and in this case it is often necessary to ascertain the presence of a serious pathology.
The first thing to do when red blood cells are found in a spermogram is to contact a urologist or andrologist. It is absolutely necessary to do this if the semen is unnaturally dark or rusty red in color.
In a healthy man, erythrocytes in the spermogram can be found for the reasons stated above. If these cases are isolated, there is no need to worry, you just need to monitor the state of the sperm for one to two weeks. But for your own peace of mind, you can consult a doctor and undergo an examination, which must be started with a spermogram.
Preparation for spermogram
It is necessary to carefully prepare for the delivery of ejaculate for analysis. Only in this case, you can be sure that there is no influence of random factors on the state of the sperm.
Recommendations to be followed before the procedure:
The best and most reliable results are obtained if the spermogram is taken after a vacation or weekend. Healthy sleep, walks in the fresh air, light physical activity, lack of stress – all this has a positive effect on the state of sperm.
The presence of erythrocytes in the spermogram is an infrequent phenomenon. If they appear for some time, you need to pay close attention to this and consult a doctor. It is advisable to develop the habit of undergoing an annual examination by a urologist in order to identify possible pathologies at an early stage.
A healthy lifestyle, a constant sexual partner, light physical activity, a calm emotional background, a balanced diet contribute to the overall health of the body and the good condition of sperm.
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