Urological Concerns: Pain and Changes in Semen Quality - Urology

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Hello! I have a few questions to ask! Every time I jump from a height, I experience a cramping sensation in the perineum (the area between the anus and the scrotum), which takes a while to subside.
What could this issue be? Additionally, I have noticed that my semen has been thin and has a yellowish-red color (not just once).
What could be the problem? Should I wait for a while to see if it improves before seeking medical attention (if so, how long?), or should I seek medical care immediately? Sorry for the trouble! ^^

Greene, 20~29 year old female. Ask Date: 2005/11/15

Dr. Xu Weikai reply Urology


Greene: Hello, in the past, some physicians suggested that wearing tight-fitting shorts while jumping could prevent injury to the scrotum.
There are even those who believe that wearing swim trunks is preferable while playing volleyball or basketball.
Of course, some doctors think this is an overreaction.
In your case, it seems that during the jump, the inertia causes the testicles to be pulled downward, resulting in mild strain (or possibly a tear) that causes pain.
If it is really uncomfortable, you might want to try wearing swim trunks.
If you notice any changes in the color of your semen, such as yellow or red, it is best to seek medical attention promptly.
This could indicate bleeding from an injury, infection, or even a tumor.
Please be cautious.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Director Hsu Wei-Kai.

Reply Date: 2005/11/15

More Info


When it comes to urological concerns, particularly those involving pain and changes in semen quality, it is essential to understand the underlying causes and the appropriate steps to take for diagnosis and treatment. Based on your description, there are two primary issues to address: the pain experienced in the perineal area (the space between the anus and the scrotum) after jumping from heights, and the changes in the quality and color of your semen.


Pain in the Perineal Area
The sensation of cramping or pain in the perineal region after jumping could be attributed to several factors. One possibility is that the impact from jumping may cause temporary muscle spasms or strain in the pelvic floor muscles. The pelvic floor consists of a group of muscles that support the bladder, rectum, and, in men, the prostate and seminal vesicles. If these muscles are strained or overexerted, it can lead to discomfort or cramping sensations.

Another potential cause could be related to nerve irritation or compression in the pelvic area. Activities that involve sudden movements or impacts can sometimes exacerbate underlying conditions such as pudendal nerve entrapment or pelvic floor dysfunction. If this pain persists or worsens, it would be advisable to consult a healthcare provider, particularly a urologist or a pelvic floor specialist, who can perform a thorough evaluation and recommend appropriate treatment options.


Changes in Semen Quality
Regarding the changes in your semen, specifically the thinning and yellowish-red coloration, this is a matter of concern that should not be overlooked. Normal semen is typically a whitish-gray color and has a viscous consistency. Changes in color and consistency can indicate various underlying issues, including:
1. Infection: A yellowish tint can sometimes suggest the presence of an infection in the reproductive tract, such as prostatitis or epididymitis. These conditions can also lead to changes in semen quality and may be accompanied by other symptoms like pain during ejaculation or urination.

2. Inflammation: Inflammation of the prostate (prostatitis) can also lead to changes in semen. This condition can be acute or chronic and may require medical intervention.

3. Dehydration: Sometimes, changes in semen consistency can be attributed to dehydration. Ensuring adequate hydration can help maintain normal semen quality.

4. Other Medical Conditions: Conditions such as varicocele (enlarged veins in the scrotum) or hormonal imbalances can also affect semen quality.


When to Seek Medical Attention
Given the symptoms you are experiencing, it is advisable to seek medical attention sooner rather than later. While some changes in semen quality can be temporary and resolve on their own, persistent changes, especially those accompanied by pain, should be evaluated by a healthcare professional.
If you notice any of the following, you should seek medical attention promptly:
- Persistent pain in the perineal area or during urination or ejaculation.

- Changes in semen that last more than a few days.

- Any additional symptoms such as fever, chills, or unusual discharge.


Conclusion
In summary, the pain you experience after jumping and the changes in your semen quality warrant a thorough evaluation by a healthcare provider. Early intervention can help identify any underlying issues and prevent potential complications. It is always better to err on the side of caution when it comes to your health, especially concerning urological concerns.

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