Changes in Penis and Scrotum Color: Causes and Concerns - Urology

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The skin color of the scrotum and penis is generally darker compared to the surrounding skin?


Hello doctor, I would like to ask about my condition.
My penis and scrotum have turned gray, but there is no pain.
Additionally, my penis feels tighter and the scrotum is very tight.
It takes a longer time to ejaculate, and the semen is only 2 or 3 drops but appears dark.
Is this due to the scrotum being stretched? Will it recover after some time? Is it because of necrosis? However, aside from being gray, there is no pain.

Ping, 10~19 year old female. Ask Date: 2016/03/27

Dr. Li Xinyi reply Urology


I'm not sure if there is an issue with excessive self-defense.
Excessive frequency may indicate a loss of focus in life.
To address your concerns, it is advisable to consult a urologist for an examination.

Reply Date: 2016/03/27

More Info


Changes in the color of the penis and scrotum can be concerning, and it’s important to understand the potential causes and implications of these changes. Based on your description, it seems you are experiencing a grayish discoloration of the penis and scrotum, along with tightness in the scrotum and reduced semen output. While I cannot provide a diagnosis, I can offer some insights into possible causes and considerations.

Firstly, the color of the skin in the genital area can vary significantly among individuals and can change due to a variety of factors. Normal variations in skin pigmentation can occur due to hormonal changes, blood flow, and even temperature. However, a grayish discoloration is less common and may warrant further investigation.
One potential cause of grayish discoloration could be related to reduced blood flow or circulation issues. Conditions such as Peyronie's disease, which involves the development of fibrous scar tissue inside the penis, can lead to changes in color and shape. Additionally, conditions that affect blood vessels, such as varicoceles (enlarged veins in the scrotum), may also contribute to changes in color and tightness in the scrotum.

Another consideration is the possibility of skin conditions or infections. Fungal infections, sexually transmitted infections (STIs), or other dermatological issues can lead to changes in color and texture of the skin. If there are no accompanying symptoms such as pain, itching, or discharge, it may be less likely to be an infection, but it is still important to monitor for any changes.

The tightness of the scrotum and the reduced volume of semen could be related to several factors, including anxiety, hormonal changes, or even dehydration. Stress and anxiety can lead to changes in sexual function, including reduced semen volume and changes in erectile function. It’s also worth noting that certain medications and lifestyle factors can impact sexual health and function.

Regarding your concern about whether the discoloration and tightness will resolve over time, it largely depends on the underlying cause. If the changes are due to temporary factors such as stress or dehydration, they may improve with time and lifestyle adjustments. However, if there is an underlying medical condition, it may require treatment to address the issue effectively.

It’s crucial to seek medical attention from a healthcare professional, particularly a urologist, who can perform a thorough examination and possibly recommend tests to determine the underlying cause of your symptoms. They can provide you with a proper diagnosis and treatment options tailored to your specific situation.

In summary, while changes in the color of the penis and scrotum can be concerning, they can arise from a variety of factors, including normal variations, circulation issues, skin conditions, or stress-related factors. Monitoring your symptoms and seeking professional medical advice is the best course of action to ensure your health and peace of mind.

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