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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. It's unusual to find blood in your semen when you ejaculate, but try not to worry no obvious cause can be found for blood in the semen and it will clear up by itself. (where your doctor inserts a finger into your bottom); urine and blood tests.