Yellow Clumps in Semen: Causes and Concerns - Urology

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Yellow clots in semen?


I masturbate 2 to 3 times a week, with 1 to 3 times each day.
Regardless of the number of times, the ejaculate is yellowish and sometimes has clumps.
Occasionally, I also notice stringy substances resembling rice noodles.
This has been happening for a while, and despite researching a lot, I still feel uneasy and am embarrassed to visit a urologist.
I would like to ask for a doctor's advice on this matter.

Awei, 10~19 year old female. Ask Date: 2015/09/30

Dr. Xu Weikai reply Urology


Awei: Hello, why are you hesitant to see a urologist? This is yet another preconceived misconception.
Since you have already searched for information online, why not look up the scope of practice for urology? It will surely surprise you, as it is completely different from your impression.
Note: Generally, we do not address sexually transmitted diseases or semen issues, as a clinical examination is necessary for diagnosis.
It could be normal or may be associated with other problems, such as infections or tumors.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only serve as a reference; if necessary, it is still important to seek medical care at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/09/30

More Info


The presence of yellow clumps in semen can be concerning and may indicate several underlying issues. It's important to understand that semen is typically a whitish or grayish fluid, and any significant change in color or consistency can be a signal of an underlying health problem.
One common cause of yellowish semen is the presence of infection or inflammation in the reproductive system. Conditions such as prostatitis (inflammation of the prostate gland) or epididymitis (inflammation of the epididymis) can lead to changes in the color and consistency of semen. These conditions may be caused by bacterial infections, sexually transmitted infections (STIs), or other inflammatory processes. If you notice symptoms such as pain during ejaculation, discomfort in the pelvic area, or changes in urinary habits, it is crucial to seek medical attention.

Another potential cause of yellow semen could be the presence of urine in the semen, a condition known as retrograde ejaculation. This occurs when semen enters the bladder instead of exiting through the urethra during ejaculation. This can happen due to certain medical conditions or as a side effect of medications. The mixing of urine with semen can give it a yellowish tint.

Additionally, dietary factors can also influence the color of semen. Foods high in certain pigments, such as carrots or beets, can sometimes lead to discoloration. However, this is less common and usually not a cause for concern unless accompanied by other symptoms.

The presence of clumps or strands in semen, described as resembling "winter noodles," can also be indicative of various conditions. These clumps may be due to the presence of dead sperm, debris, or mucus. If the clumping is persistent and accompanied by other symptoms such as pain, discomfort, or changes in sexual function, it is advisable to consult a healthcare professional.

It is understandable to feel embarrassed about discussing these issues, but it is essential to prioritize your health. A urologist or healthcare provider specializing in male reproductive health can perform a thorough evaluation, which may include a physical examination, urine tests, and possibly a semen analysis to determine the underlying cause of your symptoms.
In conclusion, while occasional changes in semen color and consistency can occur, persistent yellow clumps and changes warrant a medical evaluation. Early diagnosis and treatment can help address any underlying issues and prevent potential complications. Don't hesitate to reach out to a healthcare provider to discuss your concerns; they are trained to handle such matters with professionalism and confidentiality. Your health is important, and seeking help is a proactive step towards maintaining it.

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