It is wrong that STIs are common causes of hematospermia. Having not looked at the scientific literature on this for several years, before answering this question I did a search of the medical literature on the causes of Hematospermia. I found about 10 articles. One small study from Italy several years ago described infection of any kind as a possible contributor -- and in that case, the bacteria found were staph and Ureaplasma -- and Ureaplasma is an entirely normal bacteria in the genital tract. Another from Israel, also almost a decade ago, found a few cases of men with herpes or chlamydia, but the patients were highly selected and there was no clear evidence that these actually were the cause of the bleeding.

As for your husband, there is no STI that might cause the problem that would not show up on standard urinalysis. It was entirely proper for his doctor to recommend evaluation by a urologist, but that's normal for every Hematospermia case and certainly does not imply an STI as the cause. And from your description, there is nothing in you husband's symptoms that suggest it either. My suggestion is that you get of his case, stop assuming or accusing him of having an STI, and let this go. You have nothing to be worried about.

HHH, MD

1) what in urinalysis could indicate STI? Everything was negative (including leukocytes & nitrites), and microscopy said “occasional” epithelial cells & mucous “present”.  His PCP said no sign of infection based on that….?  I assume some mucous can be normal…? Sounds like in your career you haven’t seen hematospermia in STIs? 

2) what are the chances that my chlamydia/gonorrhea testing at 6 days and two weeks post exposure PLUS oral test at 10 days post exposure would not pick up an infection? My concern is that we have given it back and forth for 3 years somehow.

3) I also had a health baby/pregnancy since that encounter - should that give me encouragement? 

4) what are common symptoms of Gon/Chlam in women? I have had external/vulvar itching a few times in the past year that subsided with monistat cream.  I also had spotting a couple times recently but my dr feels that is related to hormonal shifts after ovulation/crazy stress I have been under.  And this is after 3 years since my encounter. 

Dr, I’m honestly just praying that my obsession and guilt is not allowing me to think logically that my testing was accurate and I did not give him an STI that has stuck around this long.  I appreciate any last reassurance, so that I can try to relax and trust that my life won’t blow up when he goes to the urologist in several weeks. 

2) There is no realistic possibility that these tests missed a chlamydial infection.

3) Neutral information:  most babies born to women with chlamydia or other STIs are entirely healthy.

4) The main symptoms -- in women who have symptoms at all -- are increased or abnormal vaginal discharge, vaginal spotting (sometimes noticed after sex), and sometimes painful or urgent urination, i.e. similar to non STD UTI symptoms. However, chlamydia rarely persists as long as 3 years anyway.

I agree exactly with your premise, that your "...obsession and guilt is not allowing [you] to think logically that [your] testing was accurate and [you] did not give him an STI that has stuck around this long."

I'm going to conclude this discussion. Please note -- as you may have been advised previously -- that repeated questions on the same topic are not permitted, especially when anxiety driven. The answers will never change so there is no point in asking again about any of these things. This will have to be your last; future questions on these topics and your inflated fears will receive no reply and the posting fee will not be refunded. This policy is based on compassion, not criticism, and is intended to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. Thanks for your understanding.