Correspondence Hematospermia Due to Schistosome Infection in Travelers

Sir—Schwartz et al. [1] highlight hematospermia as a presenting symptom of schistosomiasis and comment that this presentation seems to be rare among travelers with schistosomiasis, although it is perhaps more common than is generally perceived. Indeed, several reports other than the 2 mentioned in their article have documented this presentation in returning travelers [2–4]. It is important to note that hematospermia is only one alteration in semen quality associated with male genital schistosomiasis. Other changes include yellow (rather than red or brownish) discoloration and reduction in viscosity to a “watery” consistency [2, 5, 6], and these symptoms may be more common than is