instruction: hello doctor I am a 53 year old male with no previous medical history for the past two years I observed my semen to be slightly pinkish in color now I realized it was due to traces of blood but I did not pay much attention since the last two to three months I have been seeing blood in my ejaculate specifically if I have sex or masturbate on consecutive days the second day the amount of blood and redness is much more if I give a gap of 15 20 days then on the first day I do not see any blood but on the second day it is quite distinct I do not feel any sort of pain during or after sex or while masturbation I do not pass blood in the urine I do not feel any burning or itching sensation while ejaculating or urinating I have had no injury in my pelvic area or to my testicles I do not suffer from diabetes or hypertension I have been having sex and masturbation two to three times a month recently I took levofloxin 500 od for six days thinking if it was due to a urinary infection the antibiotic might help but it has not helped so far I have not consulted any clinician on the subject
output: hello the condition you described is known as hematospermia which means blood in semen although it is considered a benign symptom in men but if for any person above 40 years of age the possibility of carcinoma should be ruled out in two third of the cases no cause is found and treatment is not indicated in many of the cases there is no intervention required but with increasing age chance of prostate tumor are high I request you to visit a urologist as soon as possible the purpose of visiting urologist is to rule out the possibility of prostate malignancy the other common cause of this condition is a sexually transmitted disease you did not describe anything else in association with blood in semen so the possibility is very low in case if you have any sexual exposure to some unknown or commercial sex worker in the recent past or you are having other symptoms of sexually transmitted disease it is wise to get physician consultation I hope this helps