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Coffee colored semen. No trauma or pain. Have to go for prostrate exam. Could this be cancer?

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i am a male 57 years old and have had on and off coffee colored semen for a short while. i have an appt in three weeks for a prostate exam should i be freaking out and going to the er? the nurse practioner at the dr office was not helpful when she told me it might be cancer. so much for sleeping well now. i have no pain or burning and have not had any trauma
Posted Wed, 18 Apr 2012 in Men Sexual Problems
Answered by Dr. Mahesh Koregol 2 hours later

Thank you for your query.

Coffee coloured or brown semen usually means blood, but it happens from time to time in many men. The medical term is hematospermia. Old blood turns brown and you may have suffered from a blow to the testicles earlier on. Badly designed bicycle saddles on mountain bikes are a prime suspect. You could also have suffered an infection which can cause slight bleeding into the semen.

Prostatitis, inflammation of the prostate or an enlarged prostate can also bleed. Finally testicular or prostatic cancer can make its presence felt in this way so it makes sense to get it checked by your own doctor as soon as possible.

Please come up with follow ups, if any
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