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- Mon Jan 10, 2005 12:55 pm
Hello, I have a question. My friends husband has noticed that he when he has an ejaculation after not having sex for a long period of time his seman has a light brown color to it at first then a normal whitish color, any idea what this could be? He has no other symptoms at all. if he has sex more often the brown color doesnt show up. its only if he hasnt ejaculated for a couple of weeks.
| Dr. Anthony Solomon
- Wed Jan 12, 2005 1:07 pm
A brownish or reddish ejaculate indicates blood in the semen and can cause concern to the men who experience it. The condition is common, and many episodes go unnoticed because ejaculation is usually intravaginally. It may be benign or the first indicator of a urologic disease.
It can occur in persons of any age. Most men with this condition are young (average age less than 40 y) and have symptoms ranging in duration from 1-24 months. Blood in the ejaculate that persists for more than 10 ejaculations or 2 months requires further evaluation by a urologist or genitourinary physician. Often, the condition is self-limiting within 2 months.
The patient's blood pressure should be checked because severe hypertension is associated with this condition, and may have a similar basis to the association of hypertension with nosebleeds. Other conditions that could cause blood in the ejaculate include:
*Lesions of the urethra that bleed and contribute to the ejaculate, such as polyps, warts and strictures.
*Infections of the urethra (urethritis) which may be sexually or non-sexually transmitted. Urethritis has long been recognised as a cause of bloody semen, especially in younger men.
*Inflammations of the prostate, such as prostatitis.
*Other conditions of the prostate such as bleeding after a prostate biopsy (which resolves on its own), prostate cancer, prostatic varices, prostatic stones. Blood in the ejaculate of men older than 50 y is occasionally a harbinger of prostate cancer.
*Cysts, infections and malignancy of the seminal vesicles (a pair of male accessory sex glands that secrete most of the liquid component of semen).
*Systemic diseases, most important of which is severe hypertension as previously mentioned. Others in this category include bleeding disorders, chronic liver disease and lymphoma.
Quite often, the cause is benign, remains unknown and resolves on its own.
I hope this information will prove helpful for your friend and her husband. Thank you for contacting this website.
Dr Anthony Solomon
MB BS DTM&H DIP.VEN FRSM
Consultant Physician, Tropical & Genitourinary Medicine