Changes in Semen Color and Consistency: What You Need to Know - Urology

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The semen is very yellow and watery?


Hello, in the past, my semen was normal, milky white, and somewhat viscous, with a normal volume.
Recently, I noticed that my semen has become very yellow and watery, with a lot of volume (it's very watery).
I don't experience pain while urinating, but there is a burning sensation that has lasted for about a month.
Can you tell me why this is happening? Is it due to something I did? What could this be? Will it resolve on its own, or is there something I can take? Is it necessary to see a doctor? If so, which type of doctor should I consult (in the Shilin District of Taipei)? I'm a bit hesitant to see a doctor, and I use it quite often; is that bad? Could this affect my future fertility? If I use it too often, is there something I should take to be better for myself and my semen? Can you explain this in detail? I'm quite anxious...
and a bit afraid to see a doctor.

Mr. Hsieh, 20~29 year old female. Ask Date: 2013/05/29

Dr. Jiang Yini reply Urology


Hello: In response to your inquiry, I recommend that you visit a urology clinic for a consultation.
The physician can arrange for a semen analysis and a urine infection test, and then provide appropriate treatment based on the results.

Reply Date: 2013/05/29

More Info


Changes in semen color and consistency can be concerning, and it’s understandable that you feel anxious about these changes. Semen is typically a whitish color and has a somewhat viscous consistency. When you notice a shift to yellow, watery semen, it can indicate several potential issues that warrant attention.

Firstly, the yellow coloration of semen can be attributed to a variety of factors. One common reason is the presence of urine in the semen, which can happen if there is a retrograde ejaculation, where semen enters the bladder instead of exiting through the penis during ejaculation. This can lead to a yellowish tint due to the mixing of urine and semen. Another possibility is an infection, such as prostatitis or a sexually transmitted infection (STI), which can cause changes in semen color and consistency. Infections can also lead to symptoms like burning sensations during urination, which you mentioned experiencing.

The increased volume and watery consistency of your semen could also be related to hydration levels. If you are well-hydrated, your semen may appear more diluted. However, if this change persists, it could indicate an underlying issue that needs to be addressed.

It’s important to note that while some changes in semen can be benign, persistent changes, especially when accompanied by discomfort or other symptoms, should not be ignored. You mentioned experiencing a burning sensation, which could indicate an infection or inflammation in the reproductive tract. Conditions such as epididymitis or urethritis can lead to similar symptoms and should be evaluated by a healthcare professional.

Regarding your concerns about seeing a doctor, it is crucial to prioritize your health. While it can be intimidating to seek medical advice, especially regarding sensitive issues, healthcare providers are trained to handle these situations with professionalism and confidentiality. A urologist or a primary care physician would be the appropriate specialists to consult for your symptoms. They can perform a thorough examination, possibly including a urinalysis and semen analysis, to determine the cause of your symptoms.

In terms of treatment, if an infection is diagnosed, antibiotics may be prescribed. If the changes are due to other factors, your doctor can provide guidance on lifestyle changes or treatments that may help restore normal semen characteristics.
As for your concerns about frequent ejaculation and its impact on fertility, research indicates that regular ejaculation is generally healthy and does not adversely affect fertility. In fact, regular ejaculation can help maintain healthy sperm production. However, if you are experiencing significant changes in semen quality, it’s best to discuss this with your doctor.

In summary, while changes in semen color and consistency can be alarming, they are often treatable. It’s essential to consult a healthcare professional to rule out any serious conditions and to receive appropriate care. Don’t hesitate to reach out to a urologist or your primary care physician to discuss your symptoms and get the help you need. Taking this step can provide you with peace of mind and ensure your reproductive health is in good standing.

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