<s>[INST] 27 yr old - ejaculating blood for month now - Bloods normal - ultrasound prostate/testes supposedly normal - also has the odd nose bleed - physically very thin and below average weight for height - occupation pilot. Dr at a loss re cause. Your views appreciated. [/INST] HelloThanks for query. Hematospermia and nasal bleeding could be due to coagulation disorder and needs to be investigated thoroughly. Please consult qualified Hematologist for clinical assessment and get following basic tests done to confirm the diagnosis.1) Mammogram with platelet count.2) Bleeding time and Coagulation time 3) Prothrombin time .4) Coagulation profile Further treatment will depend upon the results of these gets and final diagnosis. Chat Doctor.  </s>