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Brownish stained semen and scrotum movement - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   hello doc; i have been feeling this movement in my scrotum for the past twenty years. i have tried all urologist and they could not figure out what exectly the problem is. today I tried to mustabate and I realised sperm has turned brownish red. is there a cure ?
Doctor :   Hi
Doctor :   May i know your age?
User :   Iam now 48
Doctor :   What exactly you meant by movement in my scrotum - can you brief me?
Doctor :   Is this the first time you are witnessing the brown stained semen?
User :   there is a periodic movement i feel in my scrotum this has made my testies smaller and the last time i checked my my semen has turned brownish red
User :   yes
Doctor :   Do you have any problem while passing urine?
User :   no
Doctor :   Do you feel that you are passing thin streamed urine, you need to strain hard to pass urine?
User :   no
Doctor :   Do you have increased urge and frequency to pass urine/ do you have burning sensation while passing urine?
User :   no
Doctor :   Do you have lump in the scrotum?
User :   I feel a little on my testies
Doctor :   Do you have any other medical illness such as diabetes, hypertension, prostrate problems, kidney problems?
User :   no
Doctor :   Ok
Doctor :   Let me explain to you.
User :   okay
Doctor :   Presence of brown stained semen indicates blood stains in the semen.
Doctor :   Most often an isolated event of blood stains in the semen is not a concerning problem at all.\
Doctor :   However persistently stained semen needs evaluation.
User :   what kind of evaluation
Doctor :   The possible causes that can cause brownish stained/frank blood stained urine are infection, inflammation secondary to injury, an obstruction to the ducts(ejaculatory/seminal) and rarely- an extreme impossibility in your cases, tumours.
Doctor :   Since you report of an isolated event,
Doctor :   I do not suggest you to get these evaluations.
Doctor :   However, if you persist to have similar episodes or you develop other symptoms such as
Doctor :   pain, discomfort/difficulty while passing urine, burning sensation while passing urine,
Doctor :   then you need to consult a doctor.
Doctor :   You will need physical examination, urine analysis and semen analysis.
Doctor :   The tests and evaluation will help in determining possible cause and thereby the treatment.
Doctor :   As far as your earlier problem goes,
Doctor :   from what you describe, I do not find any obvious medical cause
Doctor :   that can explain the abnormal movements in the scrotum.
Doctor :   However an ultrasound scan of the scrotum can suggest if there is any associated illness causing those movements.
Doctor :   Have you followed what i have suggested?
User :   doc I have undergone all that you are proposing at the one of the best hospitals inthe usa
User :   i have been married for the past twenty years with no child
Doctor :   Ok
User :   and now that my semen has turned red what chances do I have
Doctor :   As I suggested earlier, a single episode of brown/blood stained semen does not immediate medical attention.
Doctor :   There are higher chances that this will normalize subsequently(since you do not have any other associated symptoms.
Doctor :   If such symptoms persists, then the most likely cause is an infection/inflammation
Doctor :   which are also easily treatable.
Doctor :   Other likely causes being prostrate obstruction - prostrate hypertrophy.
Doctor :   And rare chances that it could be a tumour.
Doctor :   So there is no need to panic now.
Doctor :   Drink plenty of water.
User :   why not Doc, for twenty good years without a child, my wife has been very good to me and what do Ido with the tumour
Doctor :   Since your report of an isolated episode with no other isolated symptoms,
Doctor :   the possibility that you have a tumour is remote.
Doctor :   have you followed?
User :   what do you mean
Doctor :   Your symptoms are not consistent with the features of a tumour.
User :   this is what all the docs say
Doctor :   Since I am unable to perform a physical examination, my opinion is purely based on your description of symptoms.
Doctor :   hence I suggest you to keep a watch on your symptoms.
Doctor :   If symptoms recurr, then you can get evaluation done.
Doctor :   The evaluation include urine, semen test,
User :   what treatment will you recommend
Doctor :   PSA levels,
Doctor :   and an ultrasound scans.
Doctor :   They will help in establishing the diagnosis.
Doctor :   Hope you have followed what I have suggested?
User :   like I said i have done that on numerous times
Doctor :   If you continue to have blood stained semen, then you will need the tests again.
User :   Iam not really satisfied with the all the testing again
Doctor :   Since medical science is restricted, the only means of diagnosing a conditions is be evaluation and investigations.
Doctor :   You need the tests only if your symptoms are recurrent
User :   okay thanks
Doctor :   or if you have additional symptoms.
Doctor :   Do you have any other query?
User :   no
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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