BLADDER • Godbole Hospital, Thane
Hematospermia in Thane — Godbole Hospital
Medically reviewed by Mr. Harshawardhan Godbole, MS, MCh, FRCS.Ed, DNB(Urol), FRCS(Urol)
Last medically reviewed: 21 May 2026
Last updated: 21 May 2026
Blood in semen is a symptom that most men in the M.G. Road community of Naupada — Bhaskar Colony, Shivaji Nagar, Louis Wadi, and Khopat — delay seeking help for, often for weeks or months, because discussing it requires disclosing a detail of sexual health that feels deeply private. The community trust that Godbole's Heart Care Hospital carries on M.G. Road matters here: men who would not attend an unfamiliar clinic to discuss haematospermia will come to a hospital where their family has been treated for years. Mr. Harshawardhan Godbole FRCS, Cancer Lead at North Middlesex University Hospital NHS Trust, provides haematospermia assessment at this M.G. Road location — age-stratified investigation with complete confidentiality — at a consultation fee of ₹1,000.
Haematospermia (blood in semen) is alarming but most commonly benign in men under 40 — caused by prostate or seminal vesicle inflammation, minor vascular rupture, or idiopathic causes. In men over 40 or with recurrent episodes, PSA testing, transrectal ultrasound (TRUS), and MRI of the prostate and seminal vesicles are indicated to exclude prostate cancer, seminal vesicle cysts, and upper tract pathology. A single episode in a young man with no risk factors requires urine and semen cultures but rarely further imaging. Persistent or recurrent haematospermia in an older man warrants full evaluation. Mr. Godbole is Cancer Lead at North Middlesex University Hospital NHS Trust.
### Haematospermia and Anticoagulant Therapy — A Specific Godbole's Hospital Context
Godbole's Heart Care Hospital's established cardiac patient population includes many men on anticoagulant therapy — warfarin, rivaroxaban, apixaban — for atrial fibrillation or previous thrombotic events. Anticoagulants can cause haematospermia by reducing the normal coagulation that seals minor vascular ruptures in the prostate and seminal vesicles after ejaculation. In anticoagulated patients, haematospermia is often benign and resolves with optimisation of the anticoagulation intensity. However, anticoagulation cannot be assumed to explain haematospermia without confirming the INR/anti-Xa level is within range and without excluding a concurrent urological cause — particularly in men over 50.
### Haematospermia After Prostate Biopsy or TURP — Post-Procedural Presentation
A specific haematospermia scenario at Godbole's Heart Care Hospital is post-procedural — men who have recently had a TRUS biopsy, transperineal biopsy, or TURP and develop haematospermia in the recovery period. Post-biopsy haematospermia is expected and common — the biopsy needles cause bleeding in the prostate that takes 4–6 weeks to resolve. Post-TURP haematospermia similarly reflects the healing process. Mr. Godbole's assessment distinguishes expected post-procedural haematospermia (no further investigation needed) from haematospermia occurring more than 6 weeks after a procedure (which may warrant further investigation).
### Travel and Parking Guide – Godbole's Heart Care Hospital
M.G. Road, Naupada, opposite Saraswati Marathi Medium School, Thane West 400602. Auto from Thane station: 10–15 minutes. From Shivaji Nagar: walkable. From Louis Wadi and Khopat: 8–10 minutes. Street parking on M.G. Road.
Why choose Godbole Hospital for hematospermia?
- M.G. Road community men choose Godbole's Heart Care Hospital for haematospermia investigation because the hospital's established community trust makes discussing this deeply personal symptom significantly more comfortable than attending an unfamiliar specialist clinic.
- The anticoagulation-haematospermia assessment at Godbole's Heart Care Hospital specifically addresses the cardiac patient population's elevated anticoagulant use — distinguishing anticoagulant-related haematospermia from pathological causes requiring further investigation.
- Post-procedural haematospermia assessment at this M.G. Road clinic provides the reassurance or investigation that men who have recently had prostate procedures need — distinguishing expected healing from unexpected pathology.
Hematospermia cost at Godbole Hospital
Consultation fee: ₹1,000 at Godbole's Heart Care Hospital. Treatment costs vary — call +91 88280 71522 for a detailed estimate. [INTERNAL LINK → /fees/]
Causes of Hematospermia?
It may not be found despite investigating but some causes can be as listed below:
- Urethritis
- Ejaculatory duct pathologies
- UTI
- Sexually transmitted infections (STI)
- Blood disorders
- Iatrogenic such as following a prostate biopsy
Treatment for Hematospermia:
Appropriate assessment, investigations and prompt management is needed to manage this alarming presentation and if this is an issue an urgent urological opinion will be beneficial.
Coming in for your hematospermia appointment
Godbole's Heart Care Hospital serves haematospermia patients from Naupada, Bhaskar Colony, Shivaji Nagar, Louis Wadi, Khopat, M.G. Road, Thane West, and the broader Thane district. The M.G. Road address is also accessible from Majiwada and Kapurbawdi.
Patient reviews — hematospermia at Godbole Hospital
Vikram Kapoor
Shivaji Nagar
My father is 63 and on warfarin. He had haematospermia that his cardiologist attributed to the anticoagulant. Coming to Godbole's Heart Care Hospital led to a full assessment — PSA was elevated at 8.4. mpMRI showed a PIRADS 5 lesion. Prostate cancer was diagnosed. The warfarin attribution that had been made without investigation had nearly prevented a prostate cancer diagnosis. The Cancer Lead assessment found what the anticoagulant assumption had masked.
March 2026
Anita Tendulkar
Bhaskar Colony
My husband had a prostate biopsy and developed haematospermia 2 weeks later. He was alarmed, thinking something had gone wrong. The reassurance at Godbole's Heart Care Hospital was exactly right — post-biopsy haematospermia for up to 6 weeks is expected and requires no additional investigation. The correct clinical information resolved unnecessary anxiety immediately. The distinction between expected post-procedural haematospermia and pathological haematospermia was clearly explained.
February 2026
Ratan Oswal
M.G. Road area
I had haematospermia at 48 — recurrent over 3 months. Coming to Godbole's Hospital on M.G. Road felt natural given the family's long relationship with the institution. The investigation excluded cancer (PSA normal, DRE normal, MRI showing only seminal vesiculitis) and identified chronic bacterial seminal vesiculitis on semen culture. 8-week antibiotic course. Resolved completely. The investigation that found a treatable cause, and excluded cancer, was the value of the specialist assessment.
January 2026
Krishnaswamy Nadar
Khopat
I am 55 and had haematospermia that I delayed reporting for 6 weeks. Coming to Godbole's Heart Care Hospital — familiar and accessible from Khopat — made the first step easier. The age-appropriate investigation at 55 included PSA, DRE, and MRI. All clear — seminal vesicle cyst identified as the benign cause. The cyst requires monitoring rather than treatment. The clinical reassurance that excluded cancer was delivered appropriately — not falsely, but based on proper investigation.
March 2026
Sunita Wadhwa
Louis Wadi
My husband had haematospermia and was too embarrassed to seek help. I made the appointment at Godbole's Heart Care Hospital on his behalf — a hospital we both knew and trusted. He attended and received a complete assessment. PSA was normal for age. No imaging required at 39. Prostatitis on semen culture — treated with antibiotics. Resolved within 5 weeks. The community trust that Godbole's Hospital carries was the factor that made specialist care possible for my husband.
February 2026
Frequently asked questions
I am on warfarin for a heart condition and have blood in my semen — is the warfarin causing this?
Possibly — but this requires investigation before warfarin is confirmed as the cause. Anticoagulants can cause haematospermia by reducing coagulation of minor vascular ruptures in the prostate, but they can also unmask haematospermia from an underlying urological cause. At Godbole's Heart Care Hospital, the INR level is checked alongside a clinical assessment. If PSA and examination are normal and the INR is at target range, warfarin-related haematospermia is managed with anticoagulation optimisation. If PSA is elevated, further investigation is warranted regardless of anticoagulation.
I had a prostate biopsy 3 weeks ago and now have blood in my semen — is this normal?
Yes. Post-biopsy haematospermia is expected and common — biopsy needles pass through the prostate and seminal vesicles, causing bleeding that takes 4–6 weeks to fully resolve. The blood gradually clears from semen over this period. No additional investigation is needed for haematospermia occurring within 6 weeks of a prostate biopsy in a man with no other concerning features. If haematospermia persists beyond 6 weeks post-biopsy, it warrants reassessment.
Does haematospermia always mean I need an MRI of the prostate?
Not always. MRI is arranged when: the patient is over 45; haematospermia is persistent (more than 8 weeks) or recurrent; PSA is elevated for age; DRE reveals suspicious features; or there is concurrent haematuria. In younger men with a single benign episode, normal PSA, and clear cultures, MRI is not initially indicated. Mr. Godbole's age-stratified assessment at Godbole's Heart Care Hospital determines whether MRI is clinically warranted for each specific patient.
Is haematospermia related to sexually transmitted infections (STIs)?
Yes — STIs affecting the prostate (bacterial prostatitis), seminal vesicles (seminal vesiculitis), or epididymis can cause haematospermia. Chlamydia and gonorrhoea are the most common STI causes. Semen and urethral swab cultures are included in the haematospermia investigation at Godbole's Heart Care Hospital. STI-related haematospermia is treated with appropriate antibiotic therapy. Sexual partner notification and treatment is recommended where an STI is confirmed.
My haematospermia has resolved on its own after 6 weeks — do I still need to come to Godbole's Hospital?
For a man under 40 with a single resolved episode and no other symptoms, a period of observation after resolution is appropriate. For a man over 40, resolution does not remove the indication for investigation — haematospermia can be intermittent, and the underlying cause (prostatitis, PSA elevation, seminal vesicle cyst) may persist even when the haematospermia is temporarily absent. Call +91 88280 71522 to discuss whether assessment is still indicated for your specific age and circumstances.
Causes of Hematospermia?
It may not be found despite investigating but some causes can be as listed below: Urethritis Ejaculatory duct pathologies UTI Sexually transmitted infections (STI) Blood disorders Iatrogenic such as following a prostate biopsy
Treatment for Hematospermia:
Appropriate assessment, investigations and prompt management is needed to manage this alarming presentation and if this is an issue an urgent urological opinion will be beneficial.