Changes in Semen Color: When to Seek Medical Advice - Urology

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Semen Color Issues


Hello Doctor: Yesterday, I noticed that the semen I ejaculated was a bit dark brown, and today it has changed to a slightly dark yellow.
There is no pain or significant sensation during ejaculation.
I was in a car accident about two weeks ago, and I still have a bandage on my right knee, but the other injuries have mostly healed.
Should I see a doctor about this?

Mr. He, 20~29 year old female. Ask Date: 2016/08/21

Dr. Sun Hongshun reply Urology


Hello, if yesterday was your first ejaculation after the car accident and you noticed dark brown semen, it is possible that the slight trauma from the accident caused some tissue vibration, which should not be a major concern.
Please monitor the condition of your urine and semen over the next few days.
If there are any changes in color or if you still have concerns, please consult a urologist for an examination.

Reply Date: 2016/08/21

More Info


Changes in semen color can be concerning, and it's important to understand what these changes might indicate. Semen typically appears as a whitish-gray fluid, and variations in color can arise due to a variety of factors. In your case, the deep brown and yellowish hues you observed could be attributed to several potential causes.

Firstly, a brownish color in semen may suggest the presence of blood, which can occur due to various reasons such as trauma, infection, or inflammation in the reproductive system. Given that you mentioned having been in a car accident recently, it's possible that some trauma to the pelvic area could have occurred, leading to blood mixing with the semen. This is particularly relevant if you experienced any injury to the groin or lower abdomen during the accident.

On the other hand, a yellowish tint in semen can sometimes be attributed to dietary factors, dehydration, or even the presence of certain infections. For instance, a high intake of certain foods, such as those rich in carotenoids (like carrots), can impart a yellow hue. However, if the yellow color persists, it may warrant further investigation, as it could indicate an infection or other underlying health issues.

In your situation, since you are experiencing a change in semen color and have a recent history of trauma, it is advisable to consult a healthcare professional. While the absence of pain or discomfort is a positive sign, changes in bodily fluids, especially those that could indicate bleeding, should not be ignored. A medical evaluation can help determine the cause of the color change and whether any treatment is necessary.

When you visit the doctor, be prepared to provide a detailed history, including any other symptoms you may have experienced, such as changes in urination, pain, or any other unusual signs. The doctor may perform a physical examination and possibly recommend tests, such as a urinalysis or semen analysis, to assess for infections or other abnormalities.

In summary, while occasional variations in semen color can occur and may not always indicate a serious issue, the combination of a recent injury and noticeable changes in color suggests that seeking medical advice is a prudent step. Early intervention can help address any potential problems and provide peace of mind. Remember, it’s always better to err on the side of caution when it comes to your health.

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