<s>[INST] Hi during intercourse i noticed there was blood in my semen I look up informational the web and decided to give it a week i just checked again and now it seems that although there is no blood theres what seems to be almost sand like little dark rocks in my discharge  what steps do i take from here [/INST] HelloThanks for query. Blood in semen with sand like dark rocks are mostly due to infection of the prostate or Seminal Vesicle the sand like rocks are sperms clumped together. Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Semen examination and culture.In the meanwhile take broad spectrum antibiotic like Doxycycline along with anti-inflammatory Chat Doctor. Please note that Prostatitis takes long time to get cured hence one needs to take medicines for 6-8 weeks. </s>