What is the reason for the foul smell of semen during nocturnal emission?

Patient's question:

I previously dated a girlfriend for a month. She had a gynecological condition, and I wasn't familiar with this aspect, having only had one sexual partner before. Since breaking up with her after sexual contact, I've noticed that every time I experience nocturnal emissions, the semen doesn't have its usual mild fishy odor—it smells more like the stench of something that has been left to fester for too long. Previously, it wasn't smelly at all. What tests should I undergo? Or have I been infected with some disease from this girl? Before I started dating this girl, I had no sexual health history or infectious diseases!

Doctor's answer:

According to the description, your condition involves a foul odor in the semen, and you are concerned about an infectious disease. Treatment reference: In this case, you can visit the dermatology department of a public hospital for a follow-up examination, and have a few tests on the bacteria, mycoplasma, ureaplasma, etc. in the semen. Based on the test results, a clear diagnosis can be confirmed. The condition of nocturnal emission tends to recur, requiring long-term medication. For male patients, it is important to seek medical attention promptly at a professional and reputable hospital, and treatment should be considered based on the examination results. Additionally, it is necessary to restrict sexual activity and maintain a good mood.

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