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As the seminal vesicles (a pair of pouch-like glands located on either side of the bladder) and the prostate are the main organs that contribute the fluid to the sperm, an infection, inflammation or trauma in either of these organs can cause blood in the semen. Jan 10, - Urethritis can cause blood to appear in urine and semen. It may also cause burning or itching during urination and discolored discharge from Missing: clear ‎| ‎Must include: ‎clear.