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My semen is reddish brown in color. Should I be concerned?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Sandeep. P.

Medically reviewed by

iCliniq medical review team

Published At November 14, 2014
Reviewed AtJanuary 9, 2023

Patient's Query

Hi doctor,

I am a 35 year old male. Two weeks ago, I noticed that my semen was brownish. Again yesterday and today, it is the same reddish-brown, and I think it is more watery than usual. I do not have any other symptoms. I do have a varicocele, but I do not think this condition is related to varicocele. Should I be concerned?

Answered by Dr. Sandeep. P.

Hi,

Welcome to icliniq.com.

The reddish-brown color of the semen indicates a condition called hematospermia. The most common cause for this condition is idiopathic inflammation of the prostate or seminal vesicles. Do you have any feeling of dysuria (difficulty in urination or painful urination) or incomplete voiding?

So, a workup for this condition is digital rectal examination to feel your prostate and seminal vesicles and also PSA (Prostate-Specific Antigen) level. We usually treat idiopathic hematospermia with a Quinolone antibiotic for four weeks (to take care of any prostatic infection). We also give a two-month course of Alfuzosin and Dutasteride combination.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Dr. Sandeep. P.

Urology

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