It’s possible that the symptoms you’re experiencing—bloody semen (hematospermia) and blood in urine (hematuria) — might be related to recent trauma from excessive or vigorous masturbation. This can lead to irritation or minor injury to the urethra or surrounding tissues. Additionally, soreness and stingy feeling may accompany this trauma. However, it’s also important to consider other potential causes.
One possibility could be infection or inflammation within the reproductive or urinary tract, which might have been influenced by recent surgical recovery and medications. It’s also possible that a small blood vessel might’ve broken during the process of repeated strain. Although your recent surgical history and absence of previous such symptoms suggest it might not be directly linked, a new or worsening infection could still be considered, given your medication history.
To be on the safe side, you should seek medical evaluation. A healthcare professional can perform a physical exam, and potentially request urine tests, blood tests, or an ultrasound to rule out conditions like urinary tract infection, prostatitis, or any lower genitourinary tract issues. Until then, it might be helpful to avoid any vigorous activity or masturbation to let any possible injury heal. In case the symptoms significantly worsen, such as experiencing severe pain, large amounts of blood, or inability to urinate, it would be prudent to seek urgent care. Avoiding smoking or vaping might also help improve healing, since nicotine can sometimes slow this process.
