Hello. Blood in the semen (hematospermia) accompanied by a painful or burning sensation after ejaculation commonly points toward an underlying inflammation or infection in the urogenital tract. The brownish color indicates the presence of older blood. The most frequent causes at your age include prostatitis (prostate inflammation), seminal vesiculitis, or a localized urinary tract infection (UTI).

Any h/ o unprotected sexual intercourse ? Marital status ? Get urine r/ m and urine c/ s test

For an age less than 40 with blood in semen has no problem. But as it is painful, it can be due to infection, for which investigation is required. Below are the investigations: Chlamydia NAAT (Molecular testing) - First-catch urine or urethral swab Gonorrhoea NAAT / Bacterial Culture - First-catch urine or urethral swab SyphilisSerology (RPR, VDRL, Treponemal tests) - Blood sample (or lesion swab if sore is present) HIVAntigen/Antibody Immunoassay - Blood sample (or rapid oral swab) Genital Herpes PCR Assay or Viral Culture - Swab of an active blister or sore Trichomoniasis NAAT or Microscopy - Urine sample or urethral swab. To ensure accuracy, do not urinate for at least 1 to 2 hours before providing a urine sample. Consult me again through free channel.

Consult urologist

Do a urine routine microscopy and see wheather you have buring micturation , if everything is normal do a usg abd & pelvis and consult a urologist.

Consult a urologist

Semen culture CBC Tab cefixime 200 mg bd Zerodol ap sos

Kindly consult with me on 94 two six 86 seven eight 96 for proper guidance and treatment.

Tab cefixime 200mg one morning and one evening for 5days. Tab combiflam every 8hours for 3 days. Tab cetrizine 5mg one morning and one evening for 5days. Keep the area clean and dry, after ejaculation you can rinse it slightly with water.

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Urologist

Any history of fever ? Need some more details kindly consult

Lab test advisable. Augmentine duo625 three times a day after food for 7 days. Zerodol sp3 times after dinner for 5 days. Montek lc one at night for five days

Hello. Brownish or pinkish semen usually suggests the presence of a small amount of blood (hematospermia). Since you have had this for around 20 days along with pain and a burning sensation after ejaculation, it should be properly evaluated. Common causes include infection or inflammation of the prostate, seminal vesicles, or urinary tract, though other causes are also possible. I would like to ask you a few important questions regarding urinary symptoms, fever, sexual history, any recent trauma, medications, and review the attached images in detail. Based on this, I can guide you regarding the required investigations (such as urine tests, semen analysis, STI screening, or ultrasound if needed) and appropriate treatment. Please start an online consultation with me so I can assess your condition thoroughly and help you with the correct management.

Need a few more details please consult for further evaluation and treatment

Looks like some bacterial infection consult a urologist or internal medicine specialist physically for proper treatment and management

Kindly do connect and consult

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Infection.

Its infection

any h/o fever?