Differential Diagnosis for 68 year old male taking Viagra and noticing blood in semen
- Single most likely diagnosis
- Hematospermia due to sildenafil (Viagra) use: This is a known side effect of phosphodiesterase type 5 inhibitors like sildenafil, which can cause bleeding into the seminal vesicles or other parts of the male reproductive system.
- Other Likely diagnoses
- Prostatitis: Inflammation of the prostate gland can cause bleeding into the semen, and is a common condition in older men.
- Benign prostatic hyperplasia (BPH): Enlargement of the prostate gland can cause bleeding into the semen, especially in older men.
- Urethritis: Inflammation of the urethra can cause bleeding into the semen, and can be caused by infection or other factors.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Prostate cancer: Although less likely, prostate cancer can cause bleeding into the semen, and is a potentially life-threatening condition if not diagnosed and treated promptly.
- Testicular cancer: Testicular cancer can cause bleeding into the semen, and is a potentially life-threatening condition if not diagnosed and treated promptly.
- Urethral cancer: Urethral cancer is a rare but potentially life-threatening condition that can cause bleeding into the semen.
- Rare diagnoses
- Amyloidosis: A rare condition in which abnormal proteins accumulate in various parts of the body, including the reproductive system, and can cause bleeding into the semen.
- Vasculitis: Inflammation of the blood vessels can cause bleeding into the semen, and is a rare condition that can be associated with various underlying diseases.
- Trauma: Physical trauma to the genital area can cause bleeding into the semen, although this would typically be associated with other symptoms such as pain or swelling.