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What Causes Brown Semen?
The discoloration in brown sperm or semen is caused by the presence of blood, a condition known as hematospermia. Brown sperm, in particular, is indicative of older blood, as fresh blood tends to add a bright red discoloration to semen.
In most cases, a brownish hue in male ejaculate can be attributed to previous physical trauma and is often no cause for alarm.
Having dark semen is a sign of blood mixing in with the semen. This condition is known as hematospermia and has many possible causes, including urethral stricture and a prostate infection. In the majority of men, the cause is unknown and the condition clears on its own without explanation. Diagnosing the cause of dark semen requires a physical examination and medical tests performed by a urologist.
Several medical conditions can also cause blood in semen, however: prostatitis and epididymitis are some of the more common causes. Systemic Causes of hematospermia include hypertension, scurvy, cirrhosis of the liver, hemophilia, lymphoma, prostate cancer and even leukemia. A number of diagnostic tests may be performed after the clinical history is evaluated and a physical examination is performed.
Testing for Hematospermia
Some of the most commonly performed diagnostic tests are a urinalysis and cultures to identify any sexually transmitted or other infections. When indicated, imaging studies such as ultrasound or MRI may reveal tumors or other abnormalities.
Treatment of blood in the semen is directed toward the underlying cause if a cause has been found. Sometimes, treatment with antibiotics for a presumptive diagnosis of prostatitis (inflammation of the prostate gland) is given, since some studies have shown that up to about one-fourth of men with hematospermia have prostatitis.
However, the benefit of such treatment has not been definitively established.
Some content for this article provided by Medscape.