 When the affected males are adults, those who are not attentive of the condition may find the presence of blood in their semen (hematospermia).The Mullerian structures and cryptorchidism also can develop into cancer if ignored, or if there are remaining pieces of Mullerian structures left from past surgery.If PMDS was found during adulthood, or if Mullerian structures had to be left behind due to risks in surgery, biopsies of the remaining Mullerian structures can be tested.