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About Arthur Goldstein, M.D.
Expertise
Any problems or questions related to the field of urology; ie urinary stone disease, urinary cancers (kidney, bladder, prostate, testis, etc.), urinary infections, impotency, etc.
Experience
I am retired from the active practice of urology. My 34 years was totally in the clinical field and involved the entire gamut of genitourinary problems, with special interest in male impotence and endourology.
Organizations
American Medical Association, American Urological Association, American College of Surgeons
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You are here: Experts > Health/Fitness > Urology > Urology > brown fluid from penis
Expert: Arthur Goldstein, M.D.
Date: 9/16/2008
Subject: brown fluid from penis
Question
hi. a few days back i had intercourse with my partner, and after two days i masturbated and to my surprise the sperm was not white, it was light brown in color.. and there was severe pain in my lefe testicle as well. can you please tell me what might be the reason.
Answer
Vishal, this type of bleeding usually comes from the prostate gland. It is due to a tear in one of the fragile veins of the prostate (prostatic varices). It may occur from straining with bowel movements, or during urination or ejaculation. The prostate is the organ that produces the majority of the seminal fluid in response to sexual stimulation. When the prostate contracts at the time of ejaculation, a vein may tear and blood mixes with the semen (hematospermia). Red blood indicates new and dark (brownish) discoloration indicates previous bleeding. In addition, prostatic bleeding frequently is associated with gross blood during urination. This typically will occur with initiation or at the end of urination (as opposed to being throughout the entire stream). With the latter, it is often manifest as spots of blood on the underwear, pajamas or bed sheets. Irritation of the gland (prostatitis) can also cause it to become inflamed and predisposed to bleed. An inflamed or congested prostate gland, especially one with varices, can start bleeding if ones strains during a bowel movement. This occurs because hard stool can actually push on the adjacent gland precipitating bleeding or straining in itself may cause the varices to rupture. Some factors leading to inflammation include too frequent or too infrequent ejaculation, sexual arousal without ejaculation, withdraw at the time of ejaculation, excessive alcohol or spicy foods, prolonged sitting or bike riding, etc. The prostate may then become secondarily infected and require antibiotic therapy for cure. Probably the most common cause of pain such as you have in the testicle is referred pain from an inflamed prostate gland, so called prostatitis. I suggest that for the present, you defer ejaculation, take a warm bath 1-2 times a day, wear a scrotal supporter, take pain medication as needed and arrange to see a urologist ASAP.
Sometimes as the prostate gradually enlarges with age, friable veins called varices develop on its surface. These are also prone to tearing. In such cases, Proscar or Avodart is sometimes prescribed to shrink both the prostate and the veins. Although hematospermia is not a typical sign of prostate cancer, its presence may indicate an increased risk of prostate cancer. Therefore, because of this and the fact that you most likely have associated prostatitis, it is advisable to seek consultation with a urologist to evaluate this condition. Good luck.
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