Yellow Semen with Blood: What It Means and What to Do

In the past two weeks, the semen has appeared yellow and contains blood after masturbation?

Hello doctor, I have had a habit of masturbation for many years, approximately once a week.
Recently, I noticed that my semen has changed from the usual clear milky color to a yellowish hue resembling urine, and there are slight traces of blood.
However, I just had a health check-up three weeks ago, and my urine test results were completely normal.
What should I do? Could it be psychological? For the past couple of days, I've started to feel a dull ache in my lower region, and I'm quite scared...

A De, 20~29 year old female. Ask Date: 2014/05/20

Dr. Xu Weikai reply Urology

Hello, you can have your semen checked, including routine semen analysis and semen bacterial culture.
Treatment will be based on the results.
If you have any further questions, feel free to ask, and we can discuss and research together.
Answers found online should only be used as a reference; if necessary, it is important to seek medical care at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare, who cares about your health.

Reply Date: 2014/05/20

More Info

The presence of yellow semen with blood can be concerning and may indicate several underlying issues. First and foremost, it's essential to understand that changes in semen color and consistency can be influenced by various factors, including hydration levels, diet, and potential infections.
In your case, the yellow coloration of the semen could be attributed to several reasons. One common cause is the presence of a higher concentration of sperm or seminal fluid, which can occur if there has been a longer duration between ejaculations. However, the presence of blood, even if it is slight, is a more significant concern and should not be overlooked.

The blood in the semen, known as hematospermia, can arise from several sources within the male reproductive system. Potential causes include:
1. Infection or Inflammation: Conditions such as prostatitis (inflammation of the prostate gland), epididymitis (inflammation of the epididymis), or urethritis (inflammation of the urethra) can lead to blood in the semen. These conditions may also cause discomfort or pain in the genital area, which aligns with your experience of a "dull pain."
2. Trauma: Any recent trauma to the genital area, whether from vigorous sexual activity, injury, or even a medical procedure, can result in bleeding.

3. Benign Prostatic Hyperplasia (BPH): In older men, an enlarged prostate can lead to complications that may result in blood in the semen.

4. Sexually Transmitted Infections (STIs): Certain STIs can cause inflammation and bleeding in the reproductive tract.

5. Other Medical Conditions: In rare cases, more serious conditions such as tumors or vascular malformations can lead to hematospermia.

Given that you have noticed a change in your semen and are experiencing discomfort, it is crucial to seek medical attention. A healthcare provider will likely perform a thorough examination, which may include:
- A detailed medical history and physical examination.

- Urinalysis and possibly a culture to check for infections.

- Blood tests to assess prostate-specific antigen (PSA) levels and other markers.

- Imaging studies, such as an ultrasound, to visualize the reproductive organs.

While it is understandable to feel anxious about these symptoms, it is essential to approach the situation calmly. Many causes of hematospermia are benign and treatable, especially if caught early. Avoid self-diagnosing or attributing the symptoms solely to psychological factors, as this can lead to unnecessary stress and delay in seeking appropriate care.

In the meantime, consider the following recommendations:
- Stay hydrated, as dehydration can affect semen quality.

- Avoid any activities that may exacerbate discomfort, such as vigorous sexual activity or heavy lifting.

- Keep track of any additional symptoms, such as fever, changes in urination, or persistent pain, and report these to your healthcare provider.

In summary, while changes in semen color and the presence of blood can be alarming, they are often manageable with proper medical evaluation and treatment. Do not hesitate to reach out to a healthcare professional to discuss your symptoms and receive the care you need.

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