The discharge is unusual in color, and I have pain in the left testicle?
The color of my semen has been strange lately; it was pink the day before yesterday and a bit green yesterday (like phlegm).
Also, my left testicle has started to hurt, and it’s the kind of pain that occurs when touched.
Could this be epididymitis or a bacterial infection?
Wuwuwu, 20~29 year old female. Ask Date: 2018/07/07
Dr. Cai Zhuorong reply Urology
Please visit the urology outpatient clinic for consultation.
Reply Date: 2018/07/07
More Info
The symptoms you are experiencing, including unusual semen color and left testicle pain, can be concerning and may indicate underlying medical issues that require attention. Let's break down the potential causes and what steps you should consider taking.
Unusual Semen Color
1. Pink Semen: The presence of pink in your semen could suggest the presence of blood, which is known as hematospermia. This can be caused by several factors, including:
- Infection: Infections in the prostate (prostatitis), seminal vesicles, or urethra can lead to blood in the semen.
- Trauma: Any recent injury to the genital area can also result in bleeding.
- Inflammation: Conditions like epididymitis or orchitis can cause inflammation and bleeding.
- Vascular Issues: Rarely, vascular malformations can lead to blood in the semen.
2. Green Semen: The greenish tint in your semen may indicate an infection, particularly a bacterial infection. This could be due to:
- Sexually Transmitted Infections (STIs): Certain STIs can cause changes in semen color and consistency.
- Prostatitis: Inflammation of the prostate can also lead to changes in semen color.
Left Testicle Pain
The pain in your left testicle, especially if it is exacerbated by touch, could be indicative of several conditions:
1. Epididymitis: This is an inflammation of the epididymis, often caused by bacterial infections, including STIs. Symptoms typically include pain, swelling, and sometimes fever.
2. Orchitis: This is inflammation of one or both testicles, which can also be caused by infections.
3. Testicular Torsion: Although this is a medical emergency, it typically presents with sudden, severe pain and swelling. If you experience acute pain, nausea, or vomiting, seek immediate medical attention.
4. Hernia: An inguinal hernia can cause discomfort in the testicular area, especially when straining or lifting.
5. Varicocele: This is a condition characterized by enlarged veins within the scrotum, which can cause discomfort and a feeling of heaviness.
Recommended Actions
Given your symptoms, it is crucial to seek medical attention promptly. Here are some steps you should consider:
- Consult a Healthcare Provider: Schedule an appointment with a urologist. They can perform a thorough examination, including a physical exam and possibly imaging studies (like an ultrasound) to assess the testicles and surrounding structures.
- Urinalysis and Semen Analysis: These tests can help identify any infections or abnormalities in your urine and semen.
- STI Testing: If there is a possibility of a sexually transmitted infection, appropriate testing and treatment should be pursued.
- Avoid Self-Diagnosis: While it is helpful to gather information, self-diagnosing can lead to unnecessary anxiety or mismanagement of your condition.
Conclusion
Unusual semen color and testicular pain can be symptoms of various medical conditions, some of which may require urgent care. It is essential to consult a healthcare professional for a proper diagnosis and treatment plan. Early intervention can lead to better outcomes and help alleviate your symptoms effectively. Remember, your health is paramount, and addressing these symptoms promptly is the best course of action.
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