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Blood in semen & pain after ejaculation
I noticed brownish pinkish semen in start which is now more of brownish its been 20 days and 6 back to back ejaculation(spanning 3weeks) where i have noticed unusual colour and discomfort after ejaculation more of pain and burning sensation attaching pictures below for reference thankyou
Answers (21)
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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).
Next Steps
Avoid any further straining and stay well-hydrated by drinking plenty of water. It is highly recommended to temporarily reduce the frequency of ejaculation to allow the local tissues to rest and heal. Please consult a urologist or a general physician for an evaluation, which will likely involve a routine urine test and a semen analysis to rule out bacterial infections.
Health Tips
While hematospermia is usually benign and treatable, the persistent pain and 20-day duration mean it requires proper medical attention rather than self-treatment. You can book a direct consultation through my profile here, or reach out on WhatsApp at six three six nine four six zero five seven seven for guidance.
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Any h/ o unprotected sexual intercourse ?
Marital status ?
Get urine r/ m and urine c/ s test
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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.
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Consult urologist
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Kindly do connect and consult
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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.
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Consult a urologist
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Semen culture
CBC
Tab cefixime 200 mg bd
Zerodol ap sos
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Kindly consult with me on 94 two six 86 seven eight 96 for proper guidance and treatment.
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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.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Urologist
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Any history of fever ?
Need some more details kindly consult
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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
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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.
Next Steps
Please start an online consultation with me so I can assess your condition thoroughly and help you with the correct management.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Mohammed Salman Mohiuddin
General Physician
5 yrs exp
Hyderabad
Looks like some bacterial infection consult a urologist or internal medicine specialist physically for proper treatment and management
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Marini Vanitha
General Physician
12 yrs exp
Kakinada
Infection.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Its infection
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Dr. Jignesh B Patel
Internal Medicine
14 yrs exp
Navsari
any h/o fever?
Next Steps
cbc pt with imr
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