What is blood in the semen? The presence of blood in the semen (ejaculate) is also called hematospermia. Hematospermia is an uncommon condition. What are the causes of blood in the semen? Blood in semen can be caused by many conditions affecting the male genitourinary system. Areas affected include the bladder, urethra, the testicles, the tubes that distribute semen from the testicles (
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