The brownish or pinkish discoloration of semen is most consistent with hematospermia (blood in the semen). Brown-colored semen usually indicates older blood, whereas pink or red semen suggests more recent bleeding. In many young men, hematospermia is benign and self-limiting, but since you have had persistent discoloration for about 20 days, along with pain and burning after ejaculation, it should be evaluated rather than ignored.
Possible causes include:
Mild inflammation or infection of the prostate, seminal vesicles, or urethra.
Minor trauma related to sexual activity or masturbation.
Less commonly, stones or other conditions affecting the urinary or reproductive tract.
Cancer is very unlikely, especially in younger men without other risk factors, but persistent symptoms warrant a proper medical assessment.
Next Steps
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Health Tips
Seek urgent medical attention if you develop: Fever or chills. Severe pain or swelling of the testicles. Difficulty or inability to pass urine. Large amounts of bright red blood in the semen or urine. Persistent blood in the semen lasting more than 1 month despite conservative measures. Most cases of hematospermia resolve once the underlying cause is identified and treated, and the outlook is generally very good. Thank you