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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Brown Semen While Suffering From An Enlarged Prostate A Matter Of Concern?

I have an enlarged Prostate, and my PSA has gone from the middle 100's to a little over 400. When I ejaculate my prostrate and semen fluid have a dark brownish color, almost like old dried blood. I've told this to my Urologist and even showed him a tissue with the fluid on it and he said, "Don't worry about it, and I will see you in a year.". I've had several friends with Prostrate Cancer and one of them died about a year ago of the condition. Should I be worried or concern about my condition and possibly see another Urologist for a Second Opinion?
Tue, 11 Sep 2018
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General & Family Physician 's  Response
Hi,

Brownish ejaculated semen doesn't always mean cancer. In fact, the most common cause is seminal vesiculitis and prostate inflammation.

I suggest you investigate with trans rectal ultrasound or MRI scan to check your seminal vesicle and prostate. You can investigate with semen culture to find any underlying organism if present.

You can consult a urologist for examination and discuss all these.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Parth Goswami, General & Family Physician
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Is Brown Semen While Suffering From An Enlarged Prostate A Matter Of Concern?

Hi, Brownish ejaculated semen doesn t always mean cancer. In fact, the most common cause is seminal vesiculitis and prostate inflammation. I suggest you investigate with trans rectal ultrasound or MRI scan to check your seminal vesicle and prostate. You can investigate with semen culture to find any underlying organism if present. You can consult a urologist for examination and discuss all these. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician