Brown Semen: Causes and When to Seek Medical Help - Urology

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Hematospermia presenting as brown discoloration?


Hello doctor, I have been masturbating almost every day for a while now, and I haven't experienced any discomfort.
Today, when I decided to masturbate for the second time, I noticed some brownish coffee-colored blood in my semen.
Subsequent urination has been normal, and I have no discomfort.
Could this be caused by the frequency? Do I need to go to the hospital for an examination?

Jun, 20~29 year old female. Ask Date: 2020/04/22

Dr. Du Shixi reply Urology


Hello: The causes of hematospermia vary, but it is often seen in individuals who engage in frequent sexual activity.
If it occurs frequently, medical attention is necessary.
Additionally, if there is discomfort in the perineal area, please seek medical care.
Wishing you good health.
You can refer to http://www.shutien.org.tw/library_detail.aspx?healthid=324 for more information.

Reply Date: 2020/04/22

More Info


The presence of brown or coffee-colored semen can be concerning, and it is important to understand the potential causes and when to seek medical help. In your case, since you have been experiencing this change after frequent masturbation, it is essential to consider several factors.

Firstly, brown semen can indicate the presence of blood, which may arise from various sources within the male reproductive system. Common causes include:
1. Infection or Inflammation: Conditions such as prostatitis (inflammation of the prostate gland) or epididymitis (inflammation of the epididymis) can lead to bleeding, resulting in discolored semen. These conditions may also be accompanied by other symptoms like pain, swelling, or discomfort.

2. Trauma: Frequent or vigorous sexual activity, including masturbation, can sometimes cause minor trauma to the reproductive organs, leading to bleeding. This is more likely if there has been any injury or excessive friction.

3. Vascular Issues: Conditions affecting blood vessels, such as varicocele (enlargement of veins within the scrotum), can also lead to blood in the semen.

4. Benign Prostatic Hyperplasia (BPH): In older men, an enlarged prostate can lead to bleeding, which may appear in the semen.

5. Cancer: Although less common, certain types of cancer, such as prostate cancer, can cause blood in the semen. This is particularly a concern if there are other risk factors or symptoms present.

Given that you mentioned no discomfort or other symptoms like pain during urination, it is possible that the brown coloration could be related to the frequency of masturbation or a minor issue that may resolve on its own. However, it is crucial to monitor the situation closely.


When to Seek Medical Help
You should consider seeking medical attention if:
- The brown discoloration persists for more than a few days.

- You experience any pain, swelling, or discomfort in the genital area.

- You notice any other unusual symptoms, such as fever, chills, or changes in urination.

- There is a significant amount of blood in the semen or if it is accompanied by other concerning symptoms.


Recommendations
1. Observation: If the discoloration is a one-time occurrence and you do not have any other symptoms, it may be reasonable to monitor the situation for a few days. If it resolves, it may not be a cause for concern.

2. Reduce Frequency: Consider reducing the frequency of masturbation to see if that alleviates the issue. Sometimes, giving your body a break can help.

3. Consult a Doctor: If you are worried or if the symptoms persist, it is advisable to consult a healthcare professional. A urologist can perform a thorough evaluation, which may include a physical examination, urine tests, and possibly imaging studies to determine the underlying cause.

4. Stay Informed: Educate yourself about your body and any changes you experience. Keeping track of your symptoms can help your doctor make a more accurate diagnosis.

In summary, while occasional brown semen may not be a cause for alarm, it is essential to remain vigilant and seek medical advice if the symptoms persist or worsen. Your health is paramount, and addressing any concerns early can lead to better outcomes.

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