Bloody business

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Photo credit: Rachel Robinson

Dear Dan: I’m a professional dominatrix, and I thought I’d seen everything in the last five years. But this situation completely baffled the entire dungeon. This middle-aged guy, seemingly in fine health, booked an appointment with me and my colleague for one hour of some very light play and a golden shower to finish off with. We did no CBT, no cock rings, no trauma to the dick area at all, no ass play, no sounding or catheters, no turbulent masturbation, nothing that could have caused this reaction. We brought him into the bathroom, and he laid down on his back, jerking off with a condom on his penis as my buddy was standing over him and peeing and I was saying all kinds of mean/encouraging sentiments and closely observing his progress. He came and… it was entirely blood. It looked like he shat into his condom, through his penis. He did not seem alarmed or in pain. He took off his condom himself, so he was aware of the situation. He did not remark on it to either of us! He made zero effort to prepare either of us, either. And it was not a little blood in his ejaculate — it was entirely blood. He has never returned. Is this person a monster or a vampire? Is he dying? Seriously.

— Mistress Echo

P.S. I went back to the bathroom with gloves on and removed the used condom from the trash and took a photo. It’s the only way to communicate just how much blood there was.

Dear Mistress Echo: “You can tell Mistress Echo that her client was not a monster or a vampire, and he is likely not dying anytime soon,” said Dr. Stephen H. King, a board-certified urologist. “What she observed is a person with hematospermia, meaning blood in the semen.”

While the sight is alarming — I’ll never be able to scrape that photo off the back of my eyeballs, thanks — Dr. King assures me that it’s nothing to worry about, as hematospermia is almost always benign. And even if you had done ball play or rough CBT (cock and ball torture), or if he engaged in solo CBT prior to the session, it’s unlikely that kind of play would result in a condom full of blood.

“The vast majority of the semen actually comes from the prostate and the seminal vesicles, which are located deep in the pelvis just behind and below the bladder, respectively,” said Dr. King. “Very little of the ejaculate fluid actually originates from the testicles,” which primarily pump out hormones and sperm cells. “The prostate gland and seminal vesicles (also glands) store up the fluids and can become overdistended with long periods of abstinence and prone toward micro tearing and bleeding in this circumstance.”

Blowing regular loads doesn’t just lower your risk for prostate cancer, as multiple studies have shown, it also lowers your risk for filling condoms with blood and alarming your friendly neighborhood pro-Dom. Two good reasons for draining those balls, guys —and other people with balls because, as the Book of Tumblr teaches us, not all guys have balls and not all balls have guys.

“Also, these glands are lined by smooth muscle that contracts to force out the fluid [during ejaculation],” Dr. King continued. “If the force of contraction is excessive — a fucking great orgasm — this may lead toward rupture of some of the surrounding blood vessels and blood will enter the semen.”

Your client’s blasé reaction is a good indication that he’s experienced this previously, ME, because most guys who see blood in their semen — or only blood when they expected to see semen — freak the fuck out.

“In my practice, most guys who see blood in their ejaculate the first time are sufficiently freaked out to seek immediate medical attention, and their doctors usually tell them this isn’t something to worry about — unless it persists,” said Dr. King. “In cases where the hematospermia persists, gets worse, or is associated with other symptoms such as pain, difficulty urinating, or general health decline, medical attention is definitely recommended.”

Back to your client, ME: If blood loads have happened to him before (hence the blasé reaction), proper etiquette dictates that he should have said something to you about it afterward (“I’m fine, no biggie”). If it happens to him regularly, he should have warned you in advance — at least that’s what it says in my imaginary edition of Emily Post’s Etiquette.

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