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Question:
My boyfriend and I were making out and when he ejaculated his sperm was mixed with blood so we went to the emergency room and they took a sample of his urine and then they gave him azithro and zipro and told him not to have any sexual activity for 5 days and that maybe he has std/epididymitis. He never took the medicine we thought we would see how things went after 5 days. We waited a week and we made out again. The first time his sperm was normal and then we made out again that same day and there was a little blood again. So we thought we would not make out for a month incase there was a cut or somthing like that after one month we made out again and once again he had a mixture of blood and sperm. We don't know what to do or if it is somthing serious or not. He does not experience any pain when he pees and when he pees there is no blood. He is worried but he doesn't think its a sexually transmitted disease since we only make out and don't have sex. What do you think it is and what should he do?

Answer:
by Larry Siegel:
()
Thanks for taking the time to write in. Let me simply say this: Blood in semen is never normal and should not be left to just see how things go. To be honest, I'm a bit baffled that you thought it was serious enough to go to the emergency room, yet you decided to disregard the medical advice (and medication) you were given. I hope that by the time you're receiving this response your boyfriend has taken the antibiotics. I would also hope that you look a bit more broadly at your bodies, health, and sexually transmitted infections. To understand your body means being aware of the fact that things like blood in semen or urine (not to mention unusual dicharges from your vagina) require medical attention. What you first see as a minor infection can, in many cases, quickly become major ones. When that happens, there could be irreversible damage to the body - that includes places like the epididymis, testicles, cervix, uterus, urethra. His having epidydimitis doesn't mean he had to get it sexually. Even though an infection wasn't caught sexually (are you absolutely sure he couldn't have gotten it somewhere else?), it can be still be passed on that way. Say, for example, that you take penicillin because you have strep throat. You cure the infection but 2 weeks afterward, you develop a "yeast infection" because you took antibiotics for a certain period of time. You can now infect a partner and give them a "yeast infection." What wasn't an STI now becomes one. I think it's always important to follow the receommendations of medical professionals that examine you. I also think it's important to learn as much as you can about your body and how it works. That way, you can be a partner in your health care and be able to ask questions that can help you better understand what's going on. Remember, they went to medical school, you didn't. Second-guessing your doctor isn't usually a good idea. I hope that if he hasn't already, your boyfriend treats his infection and that this gives you both an opportunity to really learn about your bodies, particularly your sexual and reproductive parts. Good luck and be well. Larry Siegel

Reviewed by: Patricia Fawver Ph.D. in Sexology

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