Abnormal Semen: Blood and Unusual Discharge Concerns - Urology

More Info

---

Understanding abnormal semen, particularly the presence of blood and unusual discharge, can be concerning and warrants a thorough evaluation. Based on your description, there are several aspects to consider regarding your symptoms.

1. Presence of Blood in Semen: The occurrence of blood in the semen, known as hematospermia, can arise from various causes. These may include infections, inflammation, trauma, or even benign conditions affecting the prostate, seminal vesicles, or urethra. In your case, the fact that you noticed blood after masturbation while under the influence of cold medication could suggest a few possibilities. It's essential to consider whether any physical strain or irritation occurred during the act, which might have led to minor bleeding. However, if this symptom persists, it is crucial to seek medical attention to rule out any underlying conditions such as infections or more serious issues.

2. Unusual Discharge: The observation of a thick, greenish discharge mixed with semen could indicate an infection, possibly a sexually transmitted infection (STI) or another type of urogenital infection. The color and consistency of the discharge suggest that there may be pus present, which is often associated with infections. It’s good that you have undergone urine tests and kidney ultrasounds, as these can help rule out some serious conditions. However, if the discharge continues or if you experience additional symptoms such as pain during urination, fever, or persistent discomfort, it is vital to consult a healthcare provider for further evaluation.

3. Frequent Urination and Incontinence: The symptoms of nocturia (frequent urination at night) and urinary incontinence can be linked to several factors, including bladder irritation, infections, or even prostate issues. Given that you mentioned infrequent water intake, dehydration could also contribute to urinary issues. It’s important to maintain adequate hydration, as concentrated urine can irritate the bladder and lead to increased urgency and frequency of urination.
4. Next Steps: Since you have already undergone some initial tests, it would be advisable to follow up with a urologist, especially considering the combination of symptoms you are experiencing. A urologist can perform a more comprehensive evaluation, which may include a physical examination, further imaging studies, or specific tests for STIs if indicated. They may also consider a prostate examination, especially if you are experiencing urinary symptoms.

5. Lifestyle Considerations: In addition to seeking medical advice, consider making some lifestyle changes. Increasing your fluid intake can help dilute your urine and may alleviate some urinary symptoms. Additionally, practicing safe sex and being aware of any potential exposure to STIs is crucial for your overall health.

In summary, while some of your symptoms may not indicate a severe condition, the combination of blood in semen, unusual discharge, and urinary issues should not be ignored. A thorough evaluation by a healthcare professional is essential to determine the underlying cause and appropriate treatment.