Dark Discoloration in Semen: Causes and Concerns - Urology

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Your question: Two weeks ago, I noticed some dark brown substances in my semen while masturbating.
I'm not sure what it is, and I'm worried that I might be ill.
I don't want to tell my family about it, and I'm not sure what to do.

Long, 10~19 year old female. Ask Date: 2003/10/31

Dr. Lin Wenxu reply Urology


I believe your issue may be related to what is known as "hematospermia," which is the presence of blood in the semen.
You should monitor the situation, and if similar occurrences are noted, I recommend visiting a urologist for further evaluation and treatment.

Reply Date: 2003/10/31

More Info


The presence of dark discoloration in semen can be concerning and may indicate an underlying issue that requires attention. It's important to understand that semen can vary in color and consistency, and while some variations are normal, certain changes can signal potential health problems.

One possible cause of dark discoloration in semen is the presence of blood, which can give it a reddish or brownish tint. This condition, known as hematospermia, can occur due to various reasons, including infections, inflammation, or trauma to the reproductive system. Infections of the prostate (prostatitis), seminal vesicles, or urethra can lead to blood in the semen. Other causes may include benign conditions like cysts or more serious issues such as tumors.

Another potential cause could be the accumulation of old blood, which may not necessarily indicate a current bleeding issue but rather a previous injury or condition that has since resolved. Additionally, certain lifestyle factors, such as excessive alcohol consumption or the use of certain medications, can also affect the coloration of semen.

It is crucial to note that while some causes of dark discoloration in semen may not be serious, others could indicate a more significant health concern. Therefore, it is advisable to consult a healthcare professional for a thorough evaluation. A doctor may perform a physical examination, take a detailed medical history, and possibly order tests such as a urinalysis or semen analysis to determine the underlying cause of the discoloration.

In terms of treatment, it will depend on the underlying cause identified by the healthcare provider. If an infection is present, antibiotics may be prescribed. If the discoloration is due to a benign condition, monitoring may be all that is necessary. However, if a more serious condition is diagnosed, appropriate treatment will be initiated based on the specific diagnosis.

It is understandable to feel apprehensive about discussing such personal matters, but seeking medical advice is essential for your health and peace of mind. Remember, healthcare professionals are trained to handle sensitive issues with confidentiality and professionalism. Ignoring the symptoms may lead to complications or worsening of the condition, so it is best to address them promptly.

In conclusion, dark discoloration in semen can arise from various causes, some of which may require medical attention. It is important to consult a healthcare provider to determine the cause and receive appropriate treatment. Taking this step not only addresses your current concerns but also contributes to your overall sexual and reproductive health.

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