EP191: Seeing red and feeling blue  | PUTTING DR G ON THE SPOT - video Dailymotion

The Star

Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, explains to a reader why he is seeing blood in his semen after sexual intercourse with his wife.  Read more at https://tinyurl.com/7vyfd5mu  WATCH MORE: https://thestartv.com/c/news SUBSCRIBE: https://cutt.ly/TheStar LIKE: https://fb.com/TheStarOnline

Transcript

00:00 in the month of September and we're focusing on various issues to do with infection

00:06 and for the last installation we're going to talk about hematospermia and also prostatitis.

00:14 For somebody who ejaculates blood, yes blood in the semen is a condition called hematospermia

00:27 and that itself can be related to inflammation or just a vascular rupture that can occur.

00:34 But obviously for somebody, seeing blood in your sperm can be something that is traumatizing

00:41 that and can lead you to worry about cancer. In fact there was one study that was done in the

00:48 Northwestern University in the United States looking at 26,000 men who went for prostate

00:55 cancer screening. Out of these 26,000 men, 6.5% of them were detected having cancer and out of the

01:05 6.5% having cancer, 13% of them actually presented with hematospermia or blood in their semen.

01:13 What does that tell you? It doesn't tell you that if you produce blood in your sperm, you have 13%

01:23 chance of getting cancer. However it actually tells you that for men who go for screening

01:29 and out of this group of people, some of them might be producing blood in their semen and might

01:36 be detected having prostate cancer. So what are the chances of getting prostate cancer? Actually

01:44 it's significantly less and vast majority of time this is a bit of inflammation. For some men it's

01:50 an acute prostate infection that causes an abscess and broken vessels and therefore blood in the

01:58 semen. For some people it might just be the infection of the testicle or seminal vesicles

02:05 and for all these patients the problems of hematospermia will resolve with antibiotics.

02:12 However for some people it's idiopathic, we just don't know where the blood comes from.

02:17 So for these patients with a bit of medication such as 5-alpha reductase inhibitors, it will

02:25 reduce the testosterone supply to the prostate, will shrink the prostate and subsequently stop

02:31 the bleeding. So some of the men who are at high risk of getting prostate cancer might just need a

02:38 simple test such as a PSA blood test or an ultrasound scan or the transrectal ultrasound

02:45 scan and if that itself rule out cancer then a bit of medication will tend to resolve this completely.

02:53 So for the month of October, what do we call it? We call it Pink October and then what we're going

03:00 to talk about? Any issues to do with the breast. So for first installation we're going to talk

03:05 about breast cancer in men. So it's exceedingly rare but it can have adverse consequences because

03:12 most of the time it is found late. So stay tuned for next week's Putting Dr G on the Spot.

03:19 [Music]

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EP191: Seeing red and feeling blue | PUTTING DR G ON THE SPOT

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