Changes in Penis Color and Semen: What You Need to Know

Q: Changes in Penis Color and Semen: What You Need to Know

Hello： 1. After the first day of intimacy with my partner, I noticed a small round black spot on the glans that looks like a mole. The next day, the color changed to a brownish hue but did not completely disappear. I would like to know what this could be. ---》

Color of the glans and the color of semen after DIY activities?

1.
After the first day with my partner, I noticed a small round black spot on the glans that looked like a mole.
The next day, the color changed to a brownish hue but did not completely disappear.
I would like to know what this could be.
2.
I usually engage in DIY activities every 3-4 days, but after being with my partner, on the third day, it took a long time to ejaculate, and there was blood in the semen.
It was not bright red but pinkish due to being mixed with the semen.
Should I monitor this or take any specific action?
3.
Normally, whenever I think about or chat with my girlfriend about sexual matters in bed, I find that fluid unconsciously leaks from the glans.
Is this normal?

Xiao Wu, 30~39 year old female. Ask Date: 2023/07/13

Dr. Jian Weihong reply Urology

Hello:
1.
After the first day of intimacy with my partner, I noticed a small round black spot on the glans that looks like a mole.
The next day, the color changed to a brownish hue but did not completely disappear.
I would like to know what this could be.
---》Please seek medical attention.
2.
Normally, I engage in DIY activities every 3-4 days.
However, after being with my partner, on the third day, it took a long time to ejaculate, and there was blood in the semen.
It was not bright red but pinkish due to being mixed with the semen.
Should I monitor this or take action? ---》You should seek medical attention.
3.
Usually, whenever I think about or chat with my girlfriend about sexual matters while in bed, I notice that fluid unintentionally leaks from the glans.
Is this normal? ---》This is normal.
Wishing you good health.

Reply Date: 2023/07/13

More Info

When it comes to changes in the color of the penis and semen, there are several factors to consider. The symptoms you've described raise some important questions regarding potential underlying conditions, and it's essential to approach them with caution.

1. Black Spot on the Glans: The appearance of a small black spot on the glans (the head of the penis) that resembles a mole can be concerning. This could be a benign condition, such as a seborrheic keratosis or a harmless pigmented lesion. However, it could also indicate something more serious, such as a sexually transmitted infection (STI) or a dermatological condition. If the spot persists, changes in size, or is accompanied by other symptoms (such as pain, itching, or discharge), it is advisable to consult a healthcare professional for a thorough examination.

2. Blood in Semen: The presence of blood in semen (hematospermia) can be alarming. The fact that the blood appears pink and is mixed with the semen rather than being bright red suggests that it may not be from a source of active bleeding. Hematospermia can result from several causes, including inflammation or infection of the prostate (prostatitis), seminal vesicles, or urethra. It can also be due to trauma or irritation from vigorous sexual activity. If this is a one-time occurrence and you do not experience any pain, fever, or other concerning symptoms, you might choose to monitor the situation. However, if the blood persists or is accompanied by other symptoms, it is crucial to seek medical attention for further evaluation.

3. Pre-Ejaculatory Fluid: The involuntary release of fluid from the glans when thinking about sexual activity or during arousal is generally normal. This fluid, known as pre-ejaculatory fluid or pre-cum, is produced by the Cowper's glands and serves to lubricate the urethra and neutralize acidity. It is a natural physiological response and varies among individuals. However, if you notice an excessive amount of fluid or any changes in its consistency or color, it may warrant further investigation.

Additional Considerations
- Sexually Transmitted Infections (STIs): If you have engaged in sexual activity with new partners, it is essential to consider the possibility of STIs, which can present with various symptoms, including changes in discharge, pain, or lesions. Regular screening and open communication with partners about sexual health are vital.

- Hygiene and Care: Maintaining proper hygiene is crucial for genital health. Ensure that you clean the area gently and avoid using harsh soaps or products that may irritate the skin.

- When to Seek Help: If you experience persistent symptoms, such as pain, swelling, changes in urination, or any new lesions, it is important to consult a healthcare provider. They may recommend tests, such as a urinalysis, semen analysis, or STI screening, to determine the underlying cause of your symptoms.

In conclusion, while some changes in the penis and semen can be benign, it is essential to remain vigilant and seek medical advice when necessary. Early intervention can help address potential issues before they develop into more significant health concerns.

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