AboutArthur 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
Question Well im 17 and just lately ive noticed my semen is a dark brown and also ive been having pains in my penis and testicles not bad pains..I havent ever had sex but my friends mom has HIV and i was wondering if i might of somehow gottin HIV from her or if this is just an infection . please answer because i am worried sick it is something bad!!
Answer Travis, 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. 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. Prostatic bleeding often 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. 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. 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 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. It is exceedingly rare to have prostate cancer before age 40 and almost unheard of at age 17. As you are a virign, you did not get HIV from your firend's mother. Furthermore, hematospermia is not a characteristic symptom of HIV. To be on the safe side, I suggest that you see a urologist in consultation. Good luck.
