Haematospermia is the presence of blood in the ejaculate. Noticing blood within the ejaculate can cause men great anxiety. In the majority of cases, the aetiology is benign with a self-limiting course. For a small proportion of men, haematospermia can indicate malignancy, so a thorough work up of certain cohorts is necessary. This article will discuss the initial investigation in primary care, when and which men to refer, and provide further evidence for GPs to counsel and reassure patients.
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