Yellow-Green Semen: When to Seek Medical Attention

Q: Yellow-Green Semen: When to Seek Medical Attention

Hello： If there is blood in the semen, you should seek medical attention. <br>Only if the examination shows no issues can you feel at ease. <br>Please consult a physician for evaluation. <br>Thank you for your inquiry.

Yellow-green semen?

A month ago, there was blood in my semen, but it went away after two weeks.
However, I have experienced some discomfort while urinating.
After abstaining for a week, my semen turned yellow-green, resembling pus.
Do I need to see a doctor?

Li Li, 20~29 year old female. Ask Date: 2017/02/17

Dr. Du Shixi reply Urology

Hello: If there is blood in the semen, you should seek medical attention.
Only if the examination shows no issues can you feel at ease.
Please consult a physician for evaluation.
Thank you for your inquiry.

Reply Date: 2017/02/17

More Info

When it comes to changes in semen color, particularly the appearance of yellow-green semen, it is important to understand the potential underlying causes and when to seek medical attention. The presence of blood in semen (hematospermia) followed by changes in color can indicate various conditions, some of which may require prompt medical evaluation.

Firstly, the initial occurrence of blood in the semen can be alarming and may be caused by several factors, including infections, inflammation, or trauma to the reproductive system. In many cases, hematospermia can resolve on its own, but it is crucial to monitor any accompanying symptoms. The discomfort during urination you mentioned could suggest a urinary tract infection (UTI) or inflammation of the prostate (prostatitis), both of which can lead to changes in semen color.

The transition to yellow-green semen after a week of abstinence raises additional concerns. Semen that appears yellow or green may indicate the presence of pus or infection, often associated with sexually transmitted infections (STIs) such as gonorrhea or chlamydia. These infections can lead to epididymitis (inflammation of the epididymis) or prostatitis, both of which can cause changes in semen color and discomfort during urination.

Given your symptoms, it is advisable to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include a physical examination, urine tests, and possibly semen analysis to determine the cause of the discoloration and any underlying infections. Early diagnosis and treatment are essential to prevent complications, especially if an infection is present.

In summary, while some changes in semen color may not indicate a serious issue, the combination of previous blood in the semen, discomfort during urination, and the recent change to yellow-green semen warrants a medical evaluation. It is always better to err on the side of caution when it comes to changes in bodily fluids, especially those related to reproductive health. Seeking medical advice will provide clarity and ensure that any necessary treatment is initiated promptly.

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